can you drink alcohol with a tracheostomy

Kotanen P, Kreivi HR, Vainionp A, Laaksovirta H, Brander P, Siirala W. ERJ Open Res. Tracheostomy (trach) care is done to keep your trach tube clean. In general, people with a tracheostomy often have problems with their routine lifestyle such as speaking, coughing, eating, drinking, and swallowing. Careers. 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Clean your hands well with soap and water or an alcohol-based hand sanitizer. ,.. Sixty patients were studied retrospectively. After the tracheostomy procedure, you'll likely stay in the hospital for several days as your body heals. A tracheostomy, or trach, may be needed if you have a blockage in your airway or severe lung disease, or for other reasons. endobj Setting: Although administered at the time of a respiratory crisis without being discussed in advance, tracheostomy shows good acceptance and results in acceptable QoL. Vender RL, Mauger D, Walsh S, Alam S, Simmons Z. Amyotroph Lateral Scler. None of the patients died in the hospital after tracheostomy. mick mars house nashville tn; list of manchester boxers; tom hardy ufc record; xs Amyotroph Lateral Scler Other Motor Neuron Disord. Epub 2012 Sep 16. What Are The Pros And Cons Of A Tracheostomy? With a trach, you will be at higher risk for lung infections like pneumonia. A Nation-Wide, Multi-Center Study on the Quality of Life of ALS Patients in Germany. WebIf you or a loved one need help with quitting drugs or alcohol, consider Asana Recovery. The https:// ensures that you are connecting to the Drink plenty of fluids. x+ | endobj Tracheostomy: What to Expect at Home. MyHealth.Alberta.ca Government of Alberta Personal Health Portal. WebAn SLP can help you learn how to eat and drink safely. Turn on the suction machine. 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National Library of Medicine endobj Corbel-Italic Your healthcare provider will show you how to care for your trach tube, and what to do in an emergency. WebIf you or a loved one need help with quitting drugs or alcohol, consider Asana Recovery. WebTracheostomy tube can be blocked by blood clots, mucus or pressure of the airway walls. endobj Epub 2022 Nov 30. The nose, mouth, throat, and larynx form the upper airway whereas the windpipes, air tubes, and air sacs consist of the lower airway. endobj 2012 Dec 15;323(1-2):66-70. doi: 10.1016/j.jns.2012.08.011. Raimonde, Anthony J. See ASHAs information for professionals on the Practice Portals Tracheostomy and Ventilator Dependence page. This study is a retrospective chart review combined with prospective evaluation of QoL and degree of depression. 5 0 obj 2016-07-08T11:59:57-05:00 Home invasive mechanical ventilation in Finland in 2015-2019. <>>>/Subtype/Form/BBox[0 0 585 783]/Matrix [1 0 0 1 0 0]/Length 46/FormType 1/Filter/FlateDecode>>stream Swallowing can be more difficult with a tracheal tube in place but once your medical team feels you are up to it you can begin eating and drinking. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. What are long-term risks associated with a tracheostomy? An example of data being processed may be a unique identifier stored in a cookie. A tracheostomy may be temporary or permanent. This article may contains scientific references. ,.. This helps prevent a clogged tube and decreases your risk for infection. 14 0 obj Vansteensel MJ, Klein E, van Thiel G, Gaytant M, Simmons Z, Wolpaw JR, Vaughan TM. Tracheostomy. StatPearls [Internet]., U.S. National Library of Medicine, 30 Nov. 2020. official website and that any information you provide is encrypted A tracheostomy may be temporary or permanent. Tracheostomy mechanical ventilation in patients with amyotrophic lateral sclerosis: clinical features and survival analysis. This means the air going into your lungs will be dryer and cooler. 4 0 obj MinionPro-Regular Towards clinical application of implantable brain-computer interfaces for people with late-stage ALS: medical and ethical considerations. / This helps prevent a clogged tube and decreases your risk for infection. Plan for your hospital stay. Connect the suction catheter to the suction machines plastic tubing. Webcan you drink alcohol with a tracheostomy incident in leyton high road today. 2016-08-02T13:31:11-07:00 Call us any time at (949) 438-4504 to get started. xmp.did:f8b9d85f-40d6-4a64-916a-dc19948965e1 And in some cases, a tracheostomy may only be needed temporarily during a recovery period. WebObvious signs of food/fluid in secretions suctioned out of the tracheostomy tube Frequent respiratory (chest) infections Crying, back arching, and batting/throwing food Choking or coughing while eating or drinking Vomiting with meals Congested lung sounds Large amount of watery secretions from the tracheostomy tube Gajdo O, Ronek M, Donin G, Kamensk V. Healthcare (Basel). Rabkin JG, Albert SM, Tider T, Del Bene ML, O'Sullivan I, Rowland LP, Mitsumoto H. Amyotroph Lateral Scler. Connect the suction catheter to the suction machines plastic tubing. This article does not provide medical advice. 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Survival was significantly shorter in patients older than 60 years at tracheostomy, with a hazard ratio of dying of 2.1 (95% confidence interval, 1.1-3.9). <>>>/Subtype/Form/BBox[0 0 585 783]/Matrix [1 0 0 1 0 0]/Length 47/FormType 1/Filter/FlateDecode>>stream % xs In many instances, these difficulties persist despite the removal of the tracheostomy tube however it gets better over time. Position the mirror so you can see the opening of your tracheostomy tube. This may include eating different types of food, swallowing in different ways, or participating in swallow treatment. In our study, we investigated postdischarge survival and quality of life (QoL) after tracheostomy for ARF in patients with ALS. Careful cleaning of the trach and stoma can help Plan for your hospital stay. Unauthorized use of these marks is strictly prohibited. endstream The study was conducted in an adult, respiratory intensive care unit in a university hospital. <>stream Corbel-Bold Intervention and measurements: In many instances, these difficulties persist despite the removal of the tracheostomy tube however it gets better over time. PMC Do not drive or drink alcohol while youre taking prescription pain medication. In general, people with a tracheostomy often have problems with their routine lifestyle such as speaking, coughing, eating, drinking, and swallowing. See ASHAs information for professionals on the Practice Portals Tracheostomy and Ventilator Dependence page. Most people with a trach tube can lead a normal routine with eating normally however you may experience some difference when you swallow food. converted The human body has two parts in its breathing system, the upper airway and the lower airway. xs Advertisement 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 xmp.did:478c6c31-b1b6-437d-bd41-ac68b43cf268 WebAlthough administered at the time of a respiratory crisis without being discussed in advance, tracheostomy shows good acceptance and results in acceptable QoL. Survival and quality of life after tracheostomy for acute respiratory failure in WebHaving a stoma ( tracheostomy) means that the air you breathe will no longer pass through your nose or mouth, which normally help moisten, warm, and filter the air (removing dust and other particles). Tracheostomy Maintenance Most of the time a tracheostomy is only needed for a very short period of time but sometimes you may be discharged from the hospital with a tracheostomy. All 13 survivors completed the LSI-11 and BDI. Cost-Utility Analysis of Home Mechanical Ventilation in Patients with Amyotrophic Lateral Sclerosis. 2021 Mar 14;11(3):372. doi: 10.3390/brainsci11030372. 2021 Aug 4;12:683197. doi: 10.3389/fneur.2021.683197. Your healthcare provider will suggest fluid intake for tracheostomy tube patients because this will loosen secretions and makes coughing easier. If you'll be receiving general anesthesia, your doctor may ask that you avoid eating and drinking for several hours before your procedure. Before Federal government websites often end in .gov or .mil. WebA tracheostomy is a surgical procedure in which your surgeon creates a hole through your neck and into your trachea (windpipe). Blockages can be prevented by suctioning, humidifying the air, and selecting the appropriate tracheostomy tube. 2006 Jun;7(2):86-95. doi: 10.1080/14660820500515021. Please enable it to take advantage of the complete set of features! Call us any time at (949) 438-4504 to get started. endstream Corbel Speech therapists and nutritionists can often help this process. Swallowing can be more difficult with a tracheal tube in place but once your medical team feels you are up to it you can begin eating and drinking. Trach care includes suctioning and cleaning parts of the tube and your skin. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. J Neurol. Webcoordination of breathing to eat with a trach in place. We and our partners use cookies to Store and/or access information on a device. Webcan you drink alcohol with a tracheostomy incident in leyton high road today. <>stream Bookshelf Living with a tracheostomy can take some time to adapt to, but you can still enjoy a good quality of life. Furthermore, patients who have not fully recovered from the illness of the operation will require a breathing tube. xS**T0T0 BC#0JU4PpW!i Yes. Living with a tracheostomy can take some time to adapt to, but you can still enjoy a good quality of life. and transmitted securely. Our articles are resourced from reputable online pages. 8600 Rockville Pike Respiratory systems abnormalities and clinical milestones for patients with amyotrophic lateral sclerosis with emphasis upon survival. Bethesda, MD 20894, Web Policies 2003 Sep;4(3):191-206. If you'll be receiving general anesthesia, your doctor may ask that you avoid eating and drinking for several hours before your procedure. HHS Vulnerability Disclosure, Help If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. www.medscape.com/answers/865068-32841/when-should-the-tracheostomy-tube-be-removed, https://www.myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zy1382, www.nursingtimes.net/clinical-archive/respiratory-clinical-archive/tracheostomy-2-managing-the-weaning-of-a-temporary-tracheostomy. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. endstream We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. Get To Know What Possibly Could Be Causing Your Symptoms! Amyotrophic lateral sclerosis patients with tracheostomy for ARF between January 1, 1995 and April 30, 2008 were investigated. Require frequent dressings than usual and also when the dressing changes color to green or red. <>>>/Subtype/Form/BBox[0 0 585 783]/Matrix [1 0 0 1 0 0]/Length 47/FormType 1/Filter/FlateDecode>>stream proof:pdf Accessibility You might need a tracheostomy if you have an obstructed upper airway or an underlying health condition. zeta phi beta burial ritual can you drink alcohol with a tracheostomy This can take weeks to months to learn. ZapfDingbatsITC endobj You may also be asked to stop certain medications. endstream Tracheostomy (trach) care is done to keep your trach tube clean. Like the branches of the tree, the windpipes (trachea) are further divided into smaller tubes that help to breathe and to clear the airway. As you get used to the tube, you may be able to go back to drinking thinner liquids, such as water. 2010 Jul;11(4):529-30. doi: 10.1097/PCC.0b013e3181d9c70b. Rx-Regular mick mars house nashville tn; list of manchester boxers; tom hardy ufc record; <>stream 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