Tracheostomy Care

Parker, Laura C.

doi:10.1097/01.ccn.0000453466.57833.dd

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Tracheostomy is a surgically created ostomy (stoma) connecting the trachea directly to the skin. 24 Evidence concerning the frequency of tracheostomy creation is not known, but the available research strongly suggests that intentional tracheostomy is the most frequent scenario underlying irritant contact dermatitis due to respiratory secretions. [25][26][27] For example, Fischler and colleagues 25 evaluated 90,412 patients receiving care for a combined 243,921 days in intensive care units (ICUs).…”

Section: Epidemiology and Pathophysiologymentioning

confidence: 99%

Moisture-Associated Skin Damage

Gray¹,

McNichol²

2022

Journal of Wound, Ostomy &Amp; Continence Nursing

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Moisture-associated skin damage (MASD) occurs when skin is repeatedly exposed to various sources of bodily secretions or effluents, often leading to irritant contact dermatitis with inflammation, with or without denudation of affected skin. In 2020, the Wound, Ostomy and Continence Nurses Society took an initiative that led to the addition of multiple International Classification for Diseases codes for irritant contract dermatitis caused by various forms of MASD for use in the United States (ICD-10-CM). In the last issue of the Journal of Wound, Ostomy and Continence Nursing, a clinical practice alert identifying the various new codes was published that summarized each of the new codes and provided highlights of the descriptions of each of the these codes. This is the first in a series of 2 articles providing a more detailed description of the newest irritant contact dermatitis codes linked to MASD. Specifically, this article reviews the clinical manifestations and assessment, pathophysiology, epidemiology, prevention, and management of irritant contact dermatitis due to saliva, respiratory secretions, and fecal or urinary incontinence.

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Section: Epidemiology and Pathophysiologymentioning

confidence: 99%

Moisture-Associated Skin Damage

Gray¹,

McNichol²

2022

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…The post-operative nursing care for patients with a nonventilated tracheostomy tube primarily involves airway humidification, prevention of infection, oral hygiene, management of the trach cuff and inner cannula, stoma care and suctioning (Parker, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…The post‐operative nursing care for patients with a non‐ventilated tracheostomy tube primarily involves airway humidification, prevention of infection, oral hygiene, management of the trach cuff and inner cannula, stoma care and suctioning (Parker, 2014). A poorly managed open airway can easily lead to complications, such as airway blockage, stoma infection, bleeding, tracheal tube displacement and tube dislodge, which can put patients' safety at risk and increase the health service utilisation and the financial burden of the patient (Morris et al., 2013).…”

Section: Introductionmentioning

confidence: 99%

Tracheostomy care of non‐ventilated patients and COVID considerations: A scoping review of clinical practice guidelines and consensus statements

Mu,

Wang,

et al. 2024

Journal of Clinical Nursing

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BackgroundThe purpose of this study is to examine and evaluate the existing clinical practice guidelines and consensus statements regarding tracheostomy care for non‐mechanically ventilated patients.MethodsA systematic search of databases, and professional organisations was conducted from inception to 19 March 2023. Two appraisers evaluated each guideline using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) and the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Text and Opinion Papers.ResultsNo specific clinical guidelines exist on airway management in non‐mechanically ventilated patients. Of 6318 articles identified, we included 12 clinical practice guidelines, and 9 consensus statements, which were from China, the US, the UK, South Korea, Australia, France and Belgium. The AGREE II scores in six domains are (1) the scope and purpose, 70.30%; (2) stakeholder involvement, 37.61%; (3) rigor of development, 33.97%; (4) clarity of presentation, 68.16%; (5) applicability, 44.23% and (6) editorial independence, 40.06%. The overall quality of evidence was level B. The summarised recommendations for clinical practice encompass the following six areas: airway humidification, management of the trach cuff, management of inner cannula, tracheostoma care, tracheostomy suctioning and management and prevention of common post‐operative complications.ConclusionsThe overall quality of the clinical guidelines on non‐ventilated tracheostomy care was moderate, and further improvements are needed in domains of stakeholder involvement, applicability, clarity of presentation and editorial independence. Recommendations on non‐ventilated tracheostomy care are often embedded in the guidelines on ventilated tracheostomy. Specific clinical guidelines are needed to provide a standardised approach to tracheostomy care for non‐ventilated patients.Relevance to clinical practicePatients with non‐ventilated tracheostomy need specialised airway management. Improving patient outcomes requires standardised protocols, patient involvement, quality evaluation, and interdisciplinary approaches.No patient or public contributionThe study reviewed clinical practice guidelines and consensus statements, therefore patient or public input was not needed.

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