Tracheostomy Ties

Definition
Tracheostomy ties are necessary to hold the trach tube in place. They may also be called tracheostomy holders or tracheostomy collar.

Twill tape is flat twill woven sturdy cotton or polyester ribbon

• Advantage - difficult for a child to untie the trach, inexpensive.
• Disadvantage - Can cause irritation and ulceration of the skin due to width and knot.
• No longer commonly used.

Velcro type tie holders - one or two pieces of foam material with Velcro strips to connect to the trach tube.

• Advantage - easy to apply and soft, can be washed and reused while Velcro holds.
  
• Disadvantage - children able to pull on the Velcro and the trach can accidentally come out.
  

Changing the ties

• Frequency - change every 1 to 3 days and as needed to keep ties clean and dry.
• Tracheostomy ties need to be changed if they become soiled, wet, loose, or cause pressure on the child's skin.
• The procedure used is dependent on the type of tie used.
  

 

 

Image retrieved from: http://my.clevelandclinic.org/head_neck/patients/head_neck_cancer/tracheostomy_care.aspx

Image retrieved from: http://www.cincinnatichildrens.org/svc/alpha/o/ent/resources/trach-handbook/care/ties.htm

Image retrieved from http://www.cincinnatichildrens.org/svc/alpha/o/ent/resources/trach-handbook/care/ties.htm

• A tracheostomy tie change requires two people due to risk of complications, such as the tracheostomy tube coming out of the airway.
  
• The most important part of tracheostomy care is keeping the tracheostomy tube in place.
  
• It is critical to be certain that the ties are tight enough to keep the trach tube in place.
  
• The tightness of the ties should be checked after placement and several times during the day since the ties can loosen when wet.