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| Pediatric Tracheostomies For parents and caregivers of children with tracheostomies. Please limit discussion to seeking and sharing of information pertaining to tracheostomy care, medical issues, special needs, disabilities, networking and moral support. |

02-05-2008, 05:56 PM
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Join Date: Jan 2008
Location: Michigan
Posts: 120
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How to clean trach tie chain??
I was inspired by previous threads to give the chain a try. I bought the dog-tag type chain, rust-proof. My question is how do I disinfect the chain? I would like to do this before use and at each trach change (assuming I am rotating two chains). Do you use a hydrogen peroxide soak or acidic acid?
Also, how do you measure the tightness of the chain? We were taught to be able to put only one finger between the tie and the neck but we modified this to two fingers. Did you find you used the same measurement system for the chain? I am worried when he gets upset it will be too tight because it doesn't have give like the velcro ties.
Thanks 
__________________
Jennifer,
mom to Jackson 4/24/2007, Pierre Robin Sequence, trached at 3 weeks old, decannulated 6/02/08
www.hefnertessier.com
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02-05-2008, 07:04 PM
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Join Date: Apr 2003
Location: central Illinois
Posts: 2,414
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I use antibacterial soap and water to clean them then lay on clean towel to air dry fully. And we use the same rule to adjust the chains here.
Love Kris 
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Kris 3/24-26wk twin girls born 7/01 at 1lb15 & 1lb13. Rynn-trach. malacia, Grade 1 SGS, reflux, asthma, autism(high funct. Asperger's) & epilepsy. Madelyn-severe trach. malacia, Grade 3 SGS(Trached 10/21/01 to 11/20/11 DECANNED) ,PVL,BPD,CP,submucousal cleft,reflux, G-button(12/01), nissen X2, off vent '03.Two of the most Perfect Princesses!  !!
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02-05-2008, 09:37 PM
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Join Date: May 2007
Location: Cochranton, PA
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In total abject shame I admit that I don't clean the chain. It gets washed every time he does and dries quickly.  We just adjust to about the same as the trach ties. Karen
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Karen, married to Charlie. Mom to Gilbete', Jeanette , Andrea, Ben, Ciara, Brian and Brady. Also mom to Alize who is with God. Grandmother to Marek, Paige, Vincent, Leilani and Cayden, Emma and Samuel.
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02-05-2008, 10:17 PM
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Join Date: Aug 2002
Location: Michigan
Posts: 781
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Quote:
Originally Posted by alizesmom
In total abject shame I admit that I don't clean the chain. It gets washed every time he does and dries quickly.  We just adjust to about the same as the trach ties. Karen
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Heh, Karen don't feel bad. Your not alone on that one. I'm the same way. I don't really ever wash them except when I take a shower, and like you the chain drys quickly. For that matter, I don't ever change mine either(I do change my trach, I just use the same chain with every trach), I've been using the same chain for years, of course I'm done growing, so my neck isn't getting any bigger either.
Becky
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Becky
Adult w/ ea/tef-repaired, chronic lung disease, o2, vent, j-button, trach and wife to the greatest husband in the world. 
My blog: www.beckyhoughten.com
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02-06-2008, 03:40 AM
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Join Date: Sep 2006
Location: israel
Posts: 379
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what kind of chain do u use ?
hi,
i use a rope, but its not comfortable.
nadav.
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02-06-2008, 10:46 AM
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Join Date: Jun 2003
Location: Alberta, Canada
Posts: 220
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We just buy bathtub chain from a hardware store and change it once a week. That way I don't have to fiddle around with cleaning it at all...just throw out the old one.
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Tanya - Mom to Cody, trach free as of May 4, 2009, born July 3, 2002 at 23 weeks 5 days gestation. Born at 1 lb. 2 ozs. as Twin B. Twin A, Devon, passed away at 9 days. Also have 2 daughters 16 and 15.
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02-06-2008, 10:49 PM
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Senior Member
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Join Date: Jan 2007
Location: Colorado
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We just soak it in hydrogen peroxide and rinse. We actually use the 1 finger rule for both kinds of trach holders. It usually takes me about 3 tries to get the right length.  FYI - Those 2 chains won't last long! We usually had to get a new one about every other week at Jack's age! 
Good job on trying something new... sometimes it can be hard.
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Dawn

former 26 weeker -- 4/2006 -- trach, g-tube, nissen; came home 1/07 vented 24/7; Successfully decanned 8/8/2008 - 
Follow decan at: http://sleepy-dogs.blogspot.com/
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02-07-2008, 10:02 AM
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Join Date: Nov 2007
Location: Boston
Posts: 257
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I am curious, what can be the advantage of a chain over ties like Pedi Ducks?
If this is repetitive, could you refer me to the relevant thread?
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 Mom to Michael, 08/07/07, PRS
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02-07-2008, 12:12 PM
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Join Date: Jan 2008
Location: Michigan
Posts: 120
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We just put Jackson's chain on last night. We think he looks very "punk rock". Here are the advantages I see:
1. Most people just change the chain at each trach change instead of every day - and they don't stay wet after baths, which requires another tie change. Since Jack HATES the daily tie change so we are excited about cutting this.
2. No more funky smell - Jackson always has a slight smell of rotting flesh when you nuzzle his neck from the skin breakdown underneth the ties - worse if we don't bathe him everyday and wash under there.
3. And of course he looks "punk rock"!!!
__________________
Jennifer,
mom to Jackson 4/24/2007, Pierre Robin Sequence, trached at 3 weeks old, decannulated 6/02/08
www.hefnertessier.com
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02-07-2008, 03:37 PM
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Join Date: Aug 2002
Location: Michigan
Posts: 781
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I wanted to share with you all a trach chain that I made. I made it espically for my wedding day to serve two purposes. One to be my necklace because of my trach I don't wear a normal necklace, and because I didn't want just my plain silver dog tag chain on for my wedding. I had to have something almost as beautiful as my wedding dress. I had so much fun picking out beads and making it! I have to give credit where credit is due tho, if it wasn't for Kris(Rynn and Maddy's mom) and her directions I wouldn't of probably been able to do it. Thanks Kris!
Becky

__________________
Becky
Adult w/ ea/tef-repaired, chronic lung disease, o2, vent, j-button, trach and wife to the greatest husband in the world. 
My blog: www.beckyhoughten.com
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