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Tracheostomy care kit for established tracheostomy

HCPCS code

Name of the Procedure:

Common Name: Tracheostomy Care
Medical Term: Tracheostomy Care Kit for Established Tracheostomy (A4629)


In simple terms, tracheostomy care involves cleaning and maintaining the tracheostomy tube to ensure that it remains clear of blockages and functions properly. The care kit includes items necessary for routine cleaning and dressing of the tracheostomy site.


Conditions Addressed:

  • Patients with an existing tracheostomy tube
  • Prevention of infection and blockage


  • Maintain a clear airway
  • Prevent infections
  • Ensure proper function of the tracheostomy tube


  • Patients with long-term tracheostomy
  • Those experiencing mucus buildup or blockages
  • Patients requiring regular tracheostomy tube maintenance


Pre-Procedure Instructions:

  • Ensure hands are clean or use sterile gloves
  • Gather all necessary components of the tracheostomy care kit

Diagnostic Tests:

  • Regular assessment and monitoring of the tracheostomy site and tube

Procedure Description

  1. Gather Supplies: Chlorhexidine wipes, sterile water, cotton gauze pads, clean tracheostomy tube, ties, and suction catheter.
  2. Hand Hygiene: Perform hand hygiene and wear sterile gloves.
  3. Clean the Site: Use chlorhexidine wipes or sterile water with gauze to clean around the tracheostomy site.
  4. Inspect the Tube: Check the integrity and cleanliness of the tracheostomy tube.
  5. Suction (if necessary): Use a suction catheter to remove any mucus buildup.
  6. Change Dressings and Ties: Replace the gauze pads and tracheostomy ties to secure the tube in place.

Tools and Equipment:

  • Tracheostomy care kit
  • Sterile gloves
  • Suction catheter

Anesthesia or Sedation: Not typically required


15-30 minutes


Performed at:

  • Hospital
  • Outpatient clinic
  • Home care setting


  • Nurses
  • Respiratory therapists
  • Caregivers (with proper training)

Risks and Complications

Common Risks:

  • Minor bleeding at the site
  • Temporary discomfort

Rare Risks:

  • Infection
  • Accidental dislodgement of the tracheostomy tube

Complication Management:

  • Immediate cleaning and addressing any signs of infection
  • Properly securing the tracheostomy tube


Expected Benefits:

  • Reduced risk of infection
  • Clear and functional airway
  • Enhanced comfort and quality of life for the patient

Time to Realize Benefits: Immediate to within a few days after consistent care


Post-Procedure Care:

  • Monitor the site for signs of infection
  • Continue regular cleaning and care

Recovery Time: Not applicable as this is routine care


  • Continuous monitoring and scheduled follow-ups for tracheostomy management


Other Options:

  • Tracheostomy tube replacement (if needed)
  • Use of home suction devices

Pros and Cons:

  • Routine care is less invasive and easier which benefits ongoing maintenance.

Patient Experience

During the Procedure:

  • Patients may feel some discomfort during suctioning but typically do not experience pain.

After the Procedure:

  • Relief from mucus buildup
  • Improved breathing and reduced risk of infection

Pain Management:

  • Typically not required but over-the-counter pain relief can be used if necessary for any minor discomfort at the site.

This routine care procedure ensures a safe and clear airway for those with a tracheostomy, optimizing their overall respiratory health and quality of life.

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