Authors: (including presenting author): :
WONG WYW(1), LEUNG KM(2), AU HH(1), HO CY(3)
Affiliation: :
(1) Department of Otorhinolaryngology, Head and Neck Surgery, Yan Chai Hospital
(2) Department of Surgery, Otorhinolaryngology, Head and Neck Surgery, Paediatrics & Adolescent Medicine, Yan Chai Hospital
(3) Department of Surgery, Yan Chai Hospital
Keyword 1: :
Tracheostomy
Keyword 2: :
Patient safety
Introduction: :
Double-cannula tracheostomy tubes consist of an inner cannula placed inside an outer cannula. The inner cannula is designed for easy removal or replacement, allowing for routine cleaning to prevent obstructions caused by mucus plugs or secretions.
However, some challenges have been observed in clinical practice.
•Absence of a standby inner cannula during hospitalization, resulting in prolonged hospital stays until a replacement could be obtained.
• Difficult cleaning and require soak the inner cannula in the solution to loosen secretions.
These issues underscore the important of • Effective inventory management.
• Enhanced cleaning methods.
Objectives: :
• Enhance awareness of tracheostomy care among staff, patients and careers.
• Clear labelling for designated tracheostomy kit.
• Educate staff, patients and careers on proper handling and effective cleaning techniques.
• Minimize the missing rate of standby inner cannulas and infection risk.
Methodology: :
1.Tracheostomy kit implementation for patients with double-cannula tracheostomy tube.
2.Provide easy-to follow instructions for cleaning tracheostomy inner tube.
3.Ad hoc audit.
Result & Outcome: :
• Zero reported of missing standby inner tracheostomy cannula among in-patients from July 2024 to December 2025.
• 41 out of 52 patients demonstrated ownership of their tracheostomy kit during follow-up. • 100% compliance rate in cleaning techniques for tracheostomy inner cannula was observed during ad hoc audit.
