Oxygen Delivering System III: Tracheostomy and T-piece

A tracheostomy is a surgical procedure involving an incision in the trachea to create an opening, which helps bypass airway obstructions or provides long-term mechanical ventilation by inserting a tube through the stoma.

The advantages of tracheostomy include improved oral and bronchial hygiene and a reduced risk of vocal cord damage.

However, the procedure may cause complications like bleeding, collapsed lungs, emphysema, and infection.

Nursing responsibilities include suctioning, providing tracheostomy care, and checking cuff pressure regularly.

Next, the T-piece is a system that delivers oxygen to patients with a tracheostomy or endotracheal tube. It provides low-pressure support and high oxygen concentration to intubated patients who do not need mechanical ventilation.

Advantages of the T-piece include good humidity and accurate FiO2.

The drawback is that the tubing can be heavy and may pull on the tracheostomy tube, potentially damaging the tissue.

Nurses should closely monitor the T-piece connector to prevent it from pulling on the tracheostomy tube and monitor the patient's oxygen levels.