[10] Otherwise, changes can be performed by an otolaryngologist or anesthesiologist trained in the procedure and tube change, tracheostomy-trained nurse practitioner, trained intensive care nurses, experienced speech and language therapists, respiratory therapists, or nurses.

When should a tracheostomy tube be replaced?

It is recommended that tracheostomy tubes without an inner lumen should be changed every 5-7 days. Patients with excessive secretions may require more frequent tube changes. The first tube change takes place 3-7 days post surgical tracheostomy.

How do you perform a tracheostomy exchange?

Gently ease the trach tube into the opening in the child's neck in a curved motion as taught. You may want to use two fingers to hold open the stoma. Your helper may need to hold the chin up or keep your child's hands out of your way. If the trach tube does not go in easily, reposition the child's head and neck.