Angus tube change - it gets easier when older!

Alethia · #1 10-27-2009, 11:03 AM

Non-YouTube, sorry, but the link is here:

Tube change

Niff · #2 10-27-2009, 12:21 PM

That satisfied my sweet tooth! Angus is too cute.

I'm impressed with how well that change went. Now I have something to look forward to~!

Btw, I had never heard of placing tape on the stoma if you have to bag from above. We were taught to bag the stoma since Mackenzie didn't have a usable upperairway (over 90% occluded when we were discharged). We have the smallest face mask possible - I believe they use it on micro-preemies - and were told to press a good seal around the neck when bagging.

lynn · #3 10-27-2009, 03:43 PM

OMG How cute is he!!!!! Oh how I wish Joseph would get to the stage of helping and not fighting!! Very nicely done Kate (and Angus)

kshell · #4 10-27-2009, 07:22 PM

Loved the video, it actually made my day, (not really sure what that means

), but really made me smile!

Karen

Alethia · #5 10-28-2009, 11:23 AM

Hi Niff,

I know what you mean about bagging the stoma. That is totally correct for a child with subglottic stenosis or any upper airway restriction. Luckily for Angus he is not in that category - he is only ventilated because he has tiny lungs and a dodgy heart. Even a 4.5mm tube kind of rattles around in his trachea.

I found that he became very helpful when we stopped using any form of restraint when doing trach changes. I gave him jobs to do like hold the tapes, or pull the tube out or open the saline-wipe sachets and hand them to me. He's been great ever since. I actually do his tube and tape changes with him standing these days and he places his hands on my knees to steady himself. It takes seconds. I'm just hoping that he doesn't have his trach so long that he ends up doing the changes himself.........

twintotwin · #6 10-28-2009, 12:10 PM

I always appreciate a good Angus movie. But I can't believe after all this time I've *known* you I never noticed you pronounce it "track", as opposed to the Americanos way "tr-ache" (only one syllable though) Well, with a long A.

I'll have to show you the mess we deal with every month on video.

Alethia · #7 10-29-2009, 11:10 AM

Quote:

Originally Posted by twintotwin

I always appreciate a good Angus movie. But I can't believe after all this time I've *known* you I never noticed you pronounce it "track", as opposed to the Americanos way "tr-ache" (only one syllable though) Well, with a long A.

I'll have to show you the mess we deal with every month on video.

I think it's the norm in the UK to pronouce tracheostomy - track-kee-oss-toe-mee, so trach becomes "track", and trachea is "track-kee-uh". I've been in Scotland so long though, that the "ch" is a pronounced as a soft "k" like the "ch" in "loch" or "Auchtermuchty".

I'd love to see the mess you get every month with the boys. I was about to say "monthly mess", but that could be seriously misconstrued!!

cherienz · #8 11-03-2009, 06:53 AM

That was beautiful to see. I have never visited the video thread before!!
Mitchell is a co-operative trache change boy too - thankfully. But I had not thought of asking him to take it out. He does help out with getting ready. It has got less stressful now that he doesn't desat every trache change!!!

Angus is so handsome!!! For some reason, I didn't expect him to be verbal on the vent, maybe, because Mitchell isn't. What a lovely boy.

You are obviously a fantastic mum to him.

Thanks for sharing,
Cherie