Respiratory Therapy - Tracheostomy Tubes Review

This vide we break down the variations of tracheostomy tubes. What you need to know about the variations and things not to ever forget!!!

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BEST WISHES!!!

[peacel]

I wished you were my teacher when I was in Respiratorycare program!

[joannsienkiewicz]

I am so glad to have found your videos, quite by accident. I am a physical therapist, and I am providing 24/7 care for my husband. He is quadriplegic for 43 years, if you Google his name, Ken Ryno, you would see how active he was prior to his stress heart attack 4 years ago. That's when he acquired his trach. He used a ventilator in ICU for 9 months. Once home, he was weaned off the vent but could not wean off the trach or oxygen. He is 6'4" tall and after several changes is using a 6 uncuffed unfenisrated trach. He has problems with aspiration. We always have suctioning devices close by. It is just wonderful to have your videos to watch. I want to learn as much as I can to provide the best care. But respiratory therapist don't make house calls, or provide outpatient therapy. We live in a remote area, so I am providing care due to sheltering in place.
Thank you for all you do

[professorneal]

I think I know more about trach tubes now then what I learned in school

[katieyasmr]

As a mom sitting in the hospital with a kiddo who has a fresh trach, this video is extremely helpful to keep with me during our training to go home. Thank you!

[stephaniesilva]

I started working in a Resp PCU floor as a nurse, which seemed overwhelming considering my experience with trachs have been limited. Your videos have helped me visualize and thoroughly understand these concepts. I'm ten times more confident in my care and thank you for your hard work in creating these videos. Also, I have acquired such a respect for the RTs out there and their overwhelming knowledge, always a pleasure to work with them <3

[Kcost]

I am not a respiratory therapist, but I am a caretaker for my brother, who just recently had a stroke, and they gave him a trach and peg tube before releasing him from the hospital. I am looking for as much information as I can find this video has been awesome so many life-saving tips I do have some medical background, but not respiratory therapist and I am very shaky when I am having to even think about changing his inner canulum. He didn’t have insurance for sometime 1st day on the job where he had the stroke.so it’s been a long wait before we can get home healthcare.we are responsible for his trach care. He is still being suctioned Secretions are down some but not to the point of being able to use a speaking valve neither do I know how to decrease the balloon, so I’ll leave that alone after watching your videos.Thank you so much for caring the way you do.❤

[mh]

I work in an LTAC and I have learned more about trachs during my time there than I ever thought I would know. Honestly, we really don’t use fenestrated trachs. If you need less volume in the airway to allow the person to use the PMV, then just downsize the trach. Also, there is a sticker that comes with the PMV kit that you put on the pilot balloon as well as a sign to place at the head of the bed. It will be a huge signal for them to deflate the cuff before placing the PMV. We also use PMVs in line with the vent circuit, which is awesome! PMVs are also a huge tool in getting people to be able to swallow.
Are you seeing anyone using a foam cuffed trach? I literally have never seen one in my career other than in class at school.
Also, there are trachs that have a water cuff (Bivona TTS is the best example). I’ve only really seen those in pediatrics.
As for XLTs, it has become very apparent to me that many clinicians do not understand the reasons for using an XLT, especially why you would use a proximal versus a distal. We get a lot of patients from outside facilities who had a regular Shiley placed who really needed an XLT, and actually required emergent changes or procedures to fix the error.
Trachs are cool to learn about and I can tell you that I definitely know more than other people about them because of my LTAC experience, which I think is great!
Also… keep a spare inner cannula at the bedside for plugging, a 10 cc syringe, and lube!

[mattcanfield]

Excellent content as always. Love how you mentioned having an end tidal detector any time you have to replace a trach tube. Those colormetric end tidal detectors have saved me and my patients countless times and is something I put in every patient's room that has an artificial airway as well as take on every vent travel. Lube and a 10 mL syringe are two other things that seem minor but have saved me countless times as well. Keep up the awesome work and content!

[helenasosa]

I was so close to giving up due to frustration with trachs. But then I came across this video and you explained it so clear enough for me to understand!
Thank you so much!

[ICUAdvantage]

Great video with a ton of info! I have actually seen a false tracked trach and the patient ballooned up BAD! Thanks for sharing the tips!

[olgashybisty]

That's a talent to be able to explain the way you do. When you have a chance, would you please make a video about pronining, the physiology behind this. Thank you

[jaja]

ahhh, i love your video its helps me alot .. i wish you were my professor when i am in my college days … GOD BLESS you and your channel … this channel is underrated …
But you help us a lot ..Thank you SIR “ i love you “ and best wishes to you as well …❤️❤️❤️

[shakuxx.xbdjejd]

Thank you for every information I learned from you, you’re a great guy. God bless you

[christinesullivan]

Thank you for this video! I just learned about trach tubes in lecture and actually saw an XLT trach during my clinicals. This was a great, quick review!

[jordonemms]

You sir are a gentlemen and a scholar! thanks for the help!

[bethanyhartley]

Thank you so much for making this video! I'm a nursing student, not a respiratory therapist student, but this video was super helpful! As nurses taking care of the patients with tracheostomy tubes, this is essential information! Good job, I love your passion!

[jeannemori]

Have you seen the new shiley's? The inner cannula's to them seem smaller and the sizes on the flange are a little confusing. Can you go over that please? Thank you so much!

[feliciahodge]

As always, great review! Absolutely love watching your videos, your teaching skills are so helpful. I appreciate you more than you know!

[mskrh]

Thank you Joe,
this is a wonderful lecture as usuals.
God Bless you!

[vanessavicieremartinez]

This is a very nice Video. You explained very well the concept of tracheostomy. I'm gonna stay tuned to your upcoming videos.