The stoma is essentially an open wound. Moist respiratory secretions can complicate wound healing if not managed appropriately. This moist environment may also act as a medium for bacterial growth. The aim of stoma care is therefore to keep the area clean and dry, reducing the risk of skin irritation and infection.

The stoma should be inspected and dressings changed at least every 24 hours, or earlier if visibly soiled. Dressings placed at the tracheostomy site should always be pre-cut by the manufacturers to avoid loose fibres from a cut dressing edge entering into the airway.

Apply a thin layer of barrier cream if the skin is at risk of excoriation from moisture from humidification and/or secretions.

Inspect for signs of granulation or tracheo-cutaneous fistulae, and pressure sores from ties, tapes or tubes.

Click here and then click on the play button to watch a video of a lyofoam dressing being changed.