Name of the Procedure:

Common Name(s): Tracheostoma Filter Holder Replacement
Technical/Medical Term(s): A7509 - Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each.

Summary

This procedure involves replacing the filter holder and integrated filter housing, along with its adhesive, which are components in a tracheostoma heat and moisture exchange (HME) system. This system helps to filter air and maintain optimal moisture and temperature levels for patients with a tracheostomy.

Purpose

The purpose of this procedure is to ensure that the tracheostoma HME system continues to function effectively by replacing worn or used components. The HME system aids in breathing by filtering out particles, humidifying, and warming the air entering the tracheostomy, thereby protecting the respiratory system.

Indications

• Patients with a tracheostomy who require an HME system to maintain airway moisture and warmth.
• Signs that the current filter holder or adhesive is no longer effective, such as accumulation of mucus or frequent coughing.
• Routine maintenance as recommended by a health professional.

Preparation

• No special preparation is required.
• Clean the skin around the tracheostoma area according to healthcare provider instructions.
• Make sure to have an adequate supply of new filter holders, integrated filters, and adhesives.

Procedure Description

1. Preparation: Gather necessary supplies including the new filter holder, integrated filter housing, and adhesive.
2. Removal: Carefully remove the old filter holder and adhesive from the tracheostoma.
3. Cleaning: Clean the skin around the tracheostoma site to ensure proper adhesion of the new components.
4. Placement: Attach the new adhesive to the skin around the tracheostoma.
5. Installation: Secure the new filter holder and integrated filter housing to the adhesive.

Duration

The entire process typically takes about 5 to 10 minutes.

Setting

This procedure can be performed at home by the patient or a caregiver, or in an outpatient clinic.

Personnel

While it can be done by the patient or their caregiver, a healthcare provider such as a respiratory therapist or nurse may initially demonstrate the procedure.

Risks and Complications

• Common Risks: Skin irritation or breakdown around the tracheostoma site.
• Rare Risks: Infection at the tracheostoma site.
• Management: Regular monitoring and proper skincare can help manage and minimize these risks.

Benefits

• Improved air filtration, moisture, and temperature control.
• Reduced respiratory complications such as mucus buildup and coughing.
• Better overall respiratory comfort and health.

Recovery

• The patient can usually resume normal activities immediately after the procedure.
• Regular cleaning and monitoring of the tracheostoma site are essential to ensure ongoing effectiveness.

Alternatives

• Alternative Treatments: Use of different types of HME systems or older methods like saline nebulization for moisture.
• Pros and Cons: Other HME systems might have different maintenance requirements but could be less effective. Saline nebulization might be more time-consuming and less efficient in maintaining warmth and humidity.

Patient Experience

• During the Procedure: Minimal discomfort; akin to a quick, gentle dressing change.
• After the Procedure: Improved breathing comfort, with proper humidity and warmth. Pain management could include over-the-counter pain relief if needed for skin irritation.

The replacement of the filter holder and adhesive is a straightforward, yet crucial procedure to ensure the proper functioning of the HME system for tracheostomy patients, significantly contributing to their respiratory health and comfort.