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학습 자료 둘러보기 →After a total laryngectomy, the trachea is permanently separated from the pharynx. The tracheostomy is the only airway, making its patency a life-or-death priority over all other needs.
The highest risk period for mucous plugging, tube displacement, or accidental decannulation is postoperative days 1-5. Assess tube patency by checking bilateral breath sounds and looking for subcutaneous emphysema.
Always keep emergency equipment at the bedside: a spare tracheostomy tube and obturator of the same size and one size smaller. Secure ties with a one-finger breadth slack to prevent skin breakdown while maintaining security.
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