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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. |

03-25-2009, 06:17 AM
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Join Date: Feb 2009
Location: Tampa-FL
Posts: 122
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Cool Mist Collar
During nIght when a Child is ona cool mist collar do you guys put HME too...
Or we simply put him on cool mist collar.....
During day when he is on HME do we run Cool mist in the room or not required with HME
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 Karma: Dad of Arjun Born on 06/28/08 Hypoplastic Left Heart Syndrome,Cleft,Nacrosis of the left Lung tissue due to Clot from ECMO machine in ICU,Left lung Surgery to remove Dead Tissue,G-tube,His normal sat's are 75% O2.
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03-25-2009, 06:46 AM
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Senior Member
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Join Date: Mar 2007
Location: Bardstown, KY
Posts: 2,494
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We always used just a mist collar at night. The HME does the same thing as the mist collar by keeping moisture in the trach. So basically it's one or the other. A mist collar may be more comfortable to sleep with. As long as his secretions are thin and loose and not starting to thicken up, use whatever makes your little guy comfy.
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Rene, Mom to my Angel, Tommy. Born 9/25/06 at 33 weeks, with Single Ventricle Heart Defects and Cricopharyngeal Achalasia (Gtube dependant, poor swallow). Trached at 2 months for Severe Subglottic Stenosis. My little flirt died unexpectly 8/20/08 from complications from undiagnosed bronchopneumonia.

Forever, Tommy's Mommy http://www.musingsofaheartfamily.blogspot.com/
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03-25-2009, 08:37 AM
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Join Date: Feb 2009
Location: Tampa-FL
Posts: 122
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How do we give treatments on Trach when he is on only HME....is there some speial attachements that can be used...
__________________
 Karma: Dad of Arjun Born on 06/28/08 Hypoplastic Left Heart Syndrome,Cleft,Nacrosis of the left Lung tissue due to Clot from ECMO machine in ICU,Left lung Surgery to remove Dead Tissue,G-tube,His normal sat's are 75% O2.
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03-25-2009, 10:08 AM
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Senior Member
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Join Date: Dec 2008
Location: ARIZONA
Posts: 1,961
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She uses the mist at night and HME During the day. We take the HME off for her treatments- the saline in the nebulizer is enough to keep him moist. Sometimes I will leave the HME off during the day.
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Last edited by bryantem : 02-21-2011 at 03:40 AM.
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03-25-2009, 10:56 AM
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Join Date: Sep 2008
Location: KY
Posts: 699
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We just use the trach collar at night, and the HME during the day. For breathing treatments, we remove the HME and use the trach collar.
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03-25-2009, 11:47 AM
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Join Date: Feb 2009
Location: Tampa-FL
Posts: 122
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thanks all that clears lots of my doubts.....
__________________
 Karma: Dad of Arjun Born on 06/28/08 Hypoplastic Left Heart Syndrome,Cleft,Nacrosis of the left Lung tissue due to Clot from ECMO machine in ICU,Left lung Surgery to remove Dead Tissue,G-tube,His normal sat's are 75% O2.
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03-26-2009, 09:15 PM
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Join Date: Jul 2006
Location: NC
Posts: 217
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We use a HME all waking hours and trach collar with a trach guard when sleeping as well. Jonathon gets dry easily thus the HME when awake, many here opt not to put one on their child, but dry lungs is dangerous as well as sucking in all those germs..at least the HME will filter some out. JMHO
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Angela  Homeschoolin' mom to 5 hobbits (Jonathon 4, Noah 7, Madison 19mths, DeeDee 18, Travis 20)
Jonathon 4yrs old with CHARGE Syndrome. Trach, g-tube, had the Nissen 06/06. Hernia repair 03/08 Lots more, but too much to list.
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