How to care for patients with laryngeal cancer who are living with tubes after surgery?

Surgery is the main treatment for laryngeal cancer. Most laryngeal cancer patients need to live with a tube for a long time or for life after surgery. Therefore, how to care for patients who live with a tube after laryngeal cancer surgery is extremely important to improve their quality of life. The following is a six-point explanation.

1. Family environment requirements

Open windows every day to ventilate the room, keep it clean, avoid dust, and maintain appropriate temperature and humidity. Keep the temperature between 18 and 22 degrees Celsius as much as possible, mop the floor frequently with a wet mop or use an air humidifier to keep the relative humidity of the indoor air between 60 and 70%. Keep warm in winter.

Avoid going out during this period and try to avoid crowded places such as shopping malls, supermarkets, etc.

2. Ensure the casing is in place and prevent it from falling off

Keep the sleeve tie tight enough to fit a finger in, and tie it on one side of the neck to prevent it from being too tight to affect blood circulation in the head, or too loose to easily fall off. Change the tie regularly, and change it whenever it is wet, dry, or dirty.

3. Prevent foreign matter from entering the casing

Swimming and bathing in a tub are prohibited. The fistula can be covered with gauze, which can be made into a bib and hung in front of the fistula to prevent inhalation of dust, drying of the tracheal hole, splashing of sputum, and foreign objects entering the trachea and causing suffocation.

4. Protect the skin around the tracheostomy

Keep the skin of the stoma clean, wipe off sputum in time, change the tracheal gauze pad 1-2 times a day, and regularly disinfect the skin around the stoma with 0.5% iodine to prevent infection or granulation hyperplasia.

5. Strictly implement cannula care

Disinfection of cannula: Remove the inner cannula for cleaning and disinfection 4 times a day, and increase or decrease the number of times according to the amount of sputum. After each cleaning, boil and disinfect for half an hour, put it on in time after cooling, and the patient can gently insert it along the curvature of the mirror. Patients can routinely prepare two cannulas for replacement to prevent the cannula from being difficult to insert again due to long disinfection time.

6. Guidance on matters requiring urgent handling

(1) Treatment of dyspnea: If the patient has dyspnea, the family should remove the inner cannula. If the dyspnea is relieved, the inner cannula is blocked by secretions and should be cleaned and disinfected before reinserting. If the dyspnea cannot be relieved, 0.9% saline should be dripped in for flushing and suctioning, which can usually help to expel sputum.

If the breathing difficulty persists, go to hospital immediately.

(2) Bleeding from wounds or blood in sputum: When the patient coughs violently, a small amount of blood may appear in the sputum. If fresh blood oozes out of the wound or a large amount of blood gushes out of the tracheal tube, it is a dangerous sign and the patient should be sent to the hospital immediately.

(3) Ulceration around the wound: This is mostly caused by irritation from the cannula and secretions. You can clean it with a cotton ball soaked in 0.9% saline, apply 0.5% iodine, and keep the tracheal gauze pad clean and dry. It can usually heal quickly. If the wound cracks, erodes and smells bad, you should consult a doctor.

The above is the introduction of how to care for patients with laryngeal cancer who are living with tubes after surgery. I hope it will be helpful to everyone. Expert Tips: If you have symptoms of illness, do not delay diagnosis and go to a regular hospital for treatment in time to avoid delaying the disease and causing serious consequences. If you have other questions, please consult our online experts or call for consultation.

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