Changing tracheostomy tube

After performing tracheostomy, the tube should not be taken out for next 72 hours unless there is emergency like blockage of tube by thick mucus plug which can not be cleaned by doing suction.After the 72 hours tracheostome is fully formed and there are less chances of missing the tract.During this period ,it is necessary to fix the tube properly by tightly securing the tapes and additionally suturing the tube to the skin. When the tube is taken out for the first time, tracheal wound dilator should be there to keep the tracheostome open and to prevent it from collasping.Always keep another tracheostomy tube ready in cases of emergency when there is no time to clean and reinsert the tube.