P has been a trach puller for about a year now. Off and on...not constantly!!! LOL!!!
He can pull it out with any ties on him. Twill, velcro, ribbon, chains...anything. He's superman!! He goes right to the stoma and viola.... flicks it out. It used to terrify me. I was freaking out a lot. But....this is how we learned that P's airway was becoming more stable. We also learned he could tolerate the trach out for short periods of time. ( I'm not implying anything for your son, I just wanted to share our experience.) After a scope they (his ENT) even lengthened his trach from a neo to a ped. and said "he won't be able to pull it out, just watch over him the next couple of days and make sure it stays in". Guess what about 2 hours after that conversation, at home...yep you guessed it he pulled it out!!
I wanted to croak!!!
The thing that I learned with him is that NOT to freak out in front of him, or yell and scream. That seemed to promote him doing it. I tried to just calmly walk up to him and undo the ties and put it back in and tie it back again. Then walked away. This seemed to do the trick. I know it sounds like that's too easy and wouldn't work. But for him it did. I think he was looking for a rise and something to do. LOL!!! Also the good ole "redirection thing" may help. Sometimes if he couldn't get a secretion out he'd just pull it also. So i'd change the trach and he seemed to be fine after that.
Hope some of my book I've written here today might help.
LOL!! Take care
Parker, 3 Yrs. old., trached at 3 months (Nov. 2000) due to VC paralysis/paresis, DECANNULATED 9/5/03. A great litle guy who loves Hulk, Spiderman and is mommy's true love !!!!! (Page 8 of Aaron's Page)