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Respiratory cheat sheet

Tracheostomy & Laryngectomy Cheat Sheet

Bedside emergency equipment, sterile suctioning, cuff management and stoma care — plus the critical ventilation differences for the NCLEX-RN.

What's in this cheat sheet

A tracheostomy bypasses the upper airway but keeps it connected to the nose and mouth, while a total laryngectomy permanently separates the airway. This cheat sheet covers tracheostomy components and the three core focus areas (dislodgement prevention, sterile suctioning, communication and nutrition), then laryngectomy care, post-op hemorrhage monitoring, and the life-or-death ventilation rules for each.

1

Tracheostomy Basics

Tube components, cuff inflation balance, indications and why humidified oxygen is mandatory.

2

Airway, Suctioning & Care

Bedside emergency equipment, the dislodgement response, sterile suctioning technique and dressing changes.

3

Communication & Nutrition

Speaking valves, deflating the cuff to eat or speak, swallow evaluation and aspiration prevention.

4

Laryngectomy

Total vs partial, hemorrhage monitoring, flap assessment, alternative voice methods and stoma self-care.

Key Takeaways

High-yield facts most likely to appear on the NCLEX-RN.

Keep at the trach bedside: a spare tube (same size + one smaller), obturator, insertion tray, suction equipment, BVM and a 10 mL syringe.

Suctioning: insert the catheter WITHOUT suction, withdraw with suction in a circular motion for ≤10 seconds, hyperoxygenate before AND after each pass.

Cuff care: underinflation → aspiration; overinflation → tracheal necrosis. Deflate the cuff before eating or using a speaking valve.

If a trach dislodges in an unhealed tract (first 5–7 days), do NOT reinsert — call rapid response, cover the stoma, and ventilate over nose & mouth.

After a total laryngectomy the airway is permanently separated — ventilate ONLY through the neck stoma; face-mask ventilation will not reach the lungs.

Swimming is absolutely contraindicated with a laryngectomy stoma; teach clients to wear a medical alert ID as a neck breather.

1. Tracheostomy Basics

A surgically created opening into the trachea that bypasses the upper airway; may be temporary or permanent.

Tube components

  • Outer cannula — main body in the trachea
  • Inner cannula — removable for cleaning
  • Obturator — stylet used only during insertion; remove immediately after
  • Cuff — inflated balloon that seals the airway and prevents aspiration
Cuff inflation balance: Underinflation → secretions leak past the cuff → aspiration risk. Overinflation → tracheal tissue damage/necrosis. Maintain 20–25 cmH₂O with RT.
Humidified oxygen is mandatory: The upper airway normally warms and humidifies air; bypassing it dries the mucosa and thickens secretions. Deliver via trach collar, T-piece or ventilator circuit.

2. Airway, Suctioning & Care

Always keep at the bedside

  • Spare tracheostomy tube (same size + one smaller)
  • Obturator for the tube in use
  • Tracheostomy insertion tray / kit
  • Suction equipment (wall suction + catheters)
  • Bag-valve mask (BVM)
  • 10 mL syringe for cuff management

If dislodgement occurs

  • Call the rapid response team immediately
  • Do NOT reinsert if the tract is unhealed (first 5–7 days post-op)
  • Cover the stoma and ventilate with a BVM over the nose & mouth
  • Only a trained HCP performs the first tube change in an unhealed tract

Sterile suctioning procedure

  • Hyperoxygenate with 100% O₂ for 30 seconds
  • Insert the catheter WITHOUT suction; if resistance, withdraw 1–2 cm
  • Apply suction while withdrawing in a circular motion for ≤10 seconds
  • Hyperoxygenate after each pass; monitor vitals and skin color
Dressing change: Keep old ties in place until new ties are secured, use sterile pre-cut gauze (never cut gauze — loose fibers aspirate), and allow one finger breadth between the tie and neck.

3. Communication & Nutrition

Communication

  • Consult speech-language pathology (SLP) early; provide writing boards/apps
  • Passy-Muir speaking valve — one-way valve directs air through the vocal cords
  • Deflate the cuff before using a speaking valve or eating (an inflated cuff blocks airflow)

Nutrition & swallowing

  • SLP performs a formal swallow assessment before oral feeds
  • Deflate the cuff before meals to allow normal swallowing mechanics
  • Elevate HOB ≥ 30° during and at least 30 min after eating to reduce aspiration

4. Laryngectomy

Surgical removal of the larynx (usually for laryngeal cancer); in a total laryngectomy the airway is permanently separated from the nose and mouth.

Total laryngectomy

Larynx fully removed → permanent neck stoma, no natural voice, airway separated from mouth/nose, cannot smell normally.

Partial laryngectomy

Part of the larynx removed; may retain some voice; usually a temporary trach during recovery.

Post-op priorities

  • Monitor for hemorrhage (head/neck highly vascular): tachycardia is an early sign, hypotension a late one
  • Position semi-Fowler (30–45°) to reduce swelling and promote drainage
  • Provide humidified O₂ and hydration to thin secretions; suction via trach PRN
  • Assess skin flaps/grafts hourly (color, capillary refill, drainage)

Voice methods & stoma teaching

  • Alternative voice: electrolarynx, tracheoesophageal puncture (TEP) prosthesis, esophageal speech
  • Enteral feeding until swallowing is safe (typically 7–10 days)
  • Wear high-collared loose clothing; cover the stoma when bathing/shaving
  • Use a humidifier; wear a medical alert ID identifying a neck breather
Ventilation after total laryngectomy: The mouth/nose is completely disconnected from the trachea. In an emergency, ventilate ONLY through the neck stoma — bag-mask over the face will not reach the lungs. Swimming is absolutely contraindicated.

Tracheostomy & Laryngectomy Self-Test

6 quick questions — answers reveal after you submit.

Q1. Which set of equipment must always be kept at the bedside of a client with a new tracheostomy?

Q2. While suctioning a tracheostomy, when should the nurse apply suction?

Q3. A tracheostomy tube becomes dislodged on the second post-operative day. What is the nurse's priority action?

Q4. Before a client with a cuffed tracheostomy eats a meal, what should the nurse do?

Q5. A client who had a total laryngectomy becomes pulseless. Where does the nurse deliver ventilations?

Q6. Which discharge instruction is essential for a client with a permanent laryngectomy stoma?

Answered 0 / 6 — unanswered count as incorrect.

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