View Full Version : Cuffed trachs vs regular trach?
07-18-2007, 11:47 AM
[F][/FONT]My Son is vent and g-tube dependent. He is 5 years old now and we are thinking about changing to a cuffed trach. Are they better then reg. trach? Or will we be giving up the little sounds he does make? Because you know as well as I do that every little thing he can do means the world to us. Don't want to give up what we have. Any incite or info would be wonderful. Thank you, Sharon W.:) http://pics2006 210
07-18-2007, 02:04 PM
Is he vented? If not and his sats are good why change to a cuffed trach? One of Emma's hospital doctors wanted to put a cuffed trach in because we were getting a big leak in the hospital (they had put an et tube in and it made her stoma bigger) and her pulmo got word of it and threw a huge fit. He just upsized the cuffed trach to solve the leak. He said that a cuffed trach should be avoided at all costs, because it can cause scaring of the trachea.
I would also think if you cuffed the trach, that not as much air could get around it to make noise. I know that my friends son has a cuffed trach and can make no sound at all. But that could be because of other issues too, although his vocal cords do work
But I know some kids must used cuffed, and that is cool, I will be interested in seeing others responses to your post to see what they say.
Eventually, most vent dependent kids will need a cuffed trach because you can only upsize the trach so many times. My son has one and it is not bad at all. Your child will NOT lose the ability to use his voice because you deflate the cuff during the day and create an airleak. You inflate at night when he is sleeping to make sure he is being adequately ventilated.
07-18-2007, 05:30 PM
both of my daughters are using a cuffed trach with their ventilators and I have the cuff down in the daytime, and put it up at night so we wont have to deal with the air-leaks. :D :p :)
07-21-2007, 07:30 PM
John has a huge leak, he is very vocal which a lot of people are surprised by. However, his doctor said he did not want to change to a cuff trach because he is ventilating well the way he is. He basically said, why fix it if it isn't broken.
ENT doc said call him if there are any issues but he also feels they should keep what he has - for the same reason.
John has never been good with change. I think the docs are a little afraid of making any changed in case John sets back.
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