the trach tube to make insertion of the trach easier. A fitted obturator should be packaged with each trach tube and is designed for use with only one size trach tube. The obturator should be kept wrapped and placed close by, in case re-insertion of the trach tube becomes necessary. Inner Cannula Tracheostomy What Is a Tracheostomy? A tracheostomy is a surgically produced hole in the trachea. A tracheostomy tube is usually used to hold the hole open. A tracheostomy bypasses a person's nose and mouth and substitutes as his or her airway. That person breathes and coughs through the tracheostomy as long as it remains unobstructed. Susan Herzberger, RN, MSN, author of Update on Tracheostomy Care. Susan is a medical-surgical nurse who began her career at the Rehabilitation Institute of Chicago and then specialized in burn unit nursing at the Massachusetts General Hospital in Boston. She returned to Chicago area to do both burn and emergency Tracheostomy Care Guidelines Description A tracheostomy is the formation of an opening into the trachea usually between the second and third rings of cartilage. Indications for Tracheostomy o Facilitate weaning from mechanical ventilation by decreasing anatomical dead space. o Prevention / treatment of retained tracheo-bronchial secretions. AARC GUIDELINE: LONG-TERM INVASIVE MECHANICAL VENTILATION IN THE HOME 1056 RESPIRATORY CARE •AUGUST 2007 VOL 52 NO 1 HIMV 1.0 PROCEDURE The application of invasive mechanical ventilation and care of the patient-ventilator system in the home, as ordered by a physician. Inquiry Builder helps you manage all of the products that are of interest to you. By adding products to the Inquiry Builder, you can send an inquiry to Smiths Medical for multiple products. Intermittent positive pressure breathing (IPPB), a hyperinflation therapy modality, was one of the primary treatment modalities administered by inhalation therapists in the 1950s, 1960s, and 1970s. Policies & Procedures: Tracheostomy Care - Adult, Pediatric and Neonate I.D. # 1184 Page 5 of 10 Note: Fresh and non-established tracheostomies require 2 qualified personnel to change the inner cannula. Note: Neonatal, pediatric and some adult tracheostomy tubes have no inner cannulas. 3.7.1 Change the inner cannula q 24 hour and p.r.n. The EZPAP® positive airway pressure system is used to expand the lungs by increasing Functional Residue Capacity (FRC). Increasing FRC has been found to contribute to the prevention and reversal of atelectasis. EzPAP® is the easy option for the prevention and treatment of atelectasis and a medical need for lung expansion therapy. ObjectiveThis clinical consensus statement (CCS) aims to improve care for pediatric and adult patients with a tracheostomy tube. Approaches to tracheostomy care are currently inconsistent among clinicians and between different institutions. The goal is to reduce variations in practice when managing patients with a tracheostomy to minimize complications.M