I have several questions in hopes that some of you more
knowledgeable "in-the-know" folks can provide some useful
answers. I am an August '93 venter and PEGer after contracting
ALS in the summer of '75, a very long time for this disease --
too long by some estimations... I must live under a rock! ;)
1. It was my understanding that cuffed trachs, as well as foam
trachs, should have the pressure relieved daily. A nurse of mine
claims this is unnecessary. She has a hands off policy. Is she
wrong, over her head in training, and/or just being lazy?
2. I have an insufficient (at least for my crooked and cratered
trachea) #8 Shiley trach. It is too short and requires far too
much air pressure. The old Portex (my provider switched to
Shiley) must have been an inch longer. Not always too kewl at
changes, but at least I was more confident in its placement and
that it would stay put. The Portex didn't oozes crapola onto my
chest, such as the Shiley. Wonderful sight, indeed. Does Shiley
trachs come in longer sizes and/or a size #10 (with also a longer
length)? I have lousy support and I am unable to access the
Internet at this time.
3. Are there better types of trach ties?
4. Are there any types of foot pumped ambu bags?
5. Does the PLV100 have a remote alarm and/or does anyone know
how to jerry rig something effective?
Thank you muchly for considering my many inquiries.
I appreciate all answers,
LCB