Soins complexes à domicile pour enfants
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Everyday tips

Clothing

  • To maintain safe and easy breathing, your child’s clothes must not cover the tracheostomy. Clothing that allows easy access to the tracheal cannula should be used (eg, V-neck, button down shirts, sweaters and low cut round necked pyjamas).
  • Do not use bibs that attach with ribbons because they may get tangled up with the tracheal cannula ties.
  • Avoid clothing in fluffy fabrics or fabrics with ornaments or fibers that may become dislodged and enter the tracheal cannula (eg, small sequins or beads).
  • Do not put any kind of necklaces around your child’s neck.
  • Mittens used on babies and very small children can prevent them from accidentally pulling on the tracheal cannula.
  • Outings:
    • The use of an artificial nose, a respirator, or other types of protection (a thin scarf or cotton bib) prevents insects or other particles swept up by the wind, from penetrating into the tracheal cannula.
    • Avoid using plastic bibs to cover the tracheostomy because they may block the entry of air.
  • Winter/cold weather outings:
    • In some children, breathing cold air causes narrowing of the airways (bronchospasm) which makes it harder for the child to breathe. If your child is very sensitive to cold air, minimize the time spent outdoors during the coldest times of the year.
    • If an outing is necessary, keep your infant’s head and neck wrapped loosely in a blanket.
    • If your child is older, place a scarf loosely around the neck.
    • Leave the top coat buttons open so that the tracheostomy site is readily accessible.

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Disclaimer: As medical and technical knowledge is constantly changing, this information is provided to you for educational purposes only. The information provided on this website is strictly provided on an “as is” basis without warranty of any kind, whether express or implied and should not at any time be considered as a substitute for professional advice from your physician or other qualified healthcare professional.

A collaboration of clinical experts across Quebec has taken every care to ensure that the information contained in this document is accurate, complete, and reflective of evidence-based practices. However, “Complex care at home for children” collaboration cannot and does not assume any responsibility for application of the content of this document or for any information that may be present in the websites cited as a reference. These web sites are provided for informational purposes only and do not represent the collaboration endorsement of any companies or products. Always consult your child’s physician and/or a qualified healthcare professional to learn more about recommendations specific to your child’s health needs.

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