Gaithy has trach and vent. We use Dale velcro ties and a split 4x4 drain sponge (manufactured with the split by Johnson & Johnson). We do "trach care" once daily, after bath time. We clean her neck and stoma with dial soap and water, rinse, dry and apply "Nyastop" nyastatin powder which dries the area up completely and fights any yeast cells. That was the only topical item used in the hospital, but once we got home and gaithy become more and more active her short little neck got very red and irriatated and began to break down. We started using Desitin cream on her neck and near the stoma, but not so close that it would creep into the stoma (same as with the nyastatin powder). This seems to protect the skin from moisture and has stopped the irritation. It keeps Gaithy's neck from getting that "inflamed" look and has been very good for us.
Gaithy's Mom:28wk preemie born 8/2000 at 1 LB, IUGR, SGA, ROP, BPD, g-tube/nissen. Trached 4-2001 and LTV950 ventilator until 5-2003. Decannulated 8-3-04