Have you seen those anti-smoking ads on TV where people have a hole in their throat aka tracheostomy? Their voices are soft and raspy. Or sometimes they have a little device they hold up to it before they speak. Their voices come out sounding a bit robotic.
The people in the videos tell us how they used to smoke. In some cases they never smoked at all. But instead were exposed to secondhand smoke. Unfortunately they ended up with that condition as a result. What’s going on with these people and how does smoking cause it?
What is a Tracheostomy?
That hole is called a tracheostomy. It’s a surgically made opening that goes through the front of your neck and into your trachea, or windpipe. The hole is to help people with damaged airways breathe. It could be temporary or you could be stuck with it forever.
Your airways – the nose, mouth, larynx (voice box), trachea and bronchial tubes – carry oxygen to your lungs and carbon dioxide out of them. If any of these pathways aren’t working right the tracheostomy allows air to get to your lungs by way of a breathing tube that goes straight into the windpipe.
The procedure itself is quick and safe. But living with a tracheostomy isn’t easy. You won’t be able to eat normally at first and will have to get nutrients through an IV or feeding tube. Once it’s healed you’ll have to learn how to swallow again before you can eat real food.
You’ll also have trouble speaking. This is because the tube prevents air from the lungs from passing over the voice box. Many people need speech therapy after the procedure. There is a valve that can be attached to the tracheostomy tube to help you speak but it has to be removed and cleaned daily.
Smoking and Tracheostomy
One of the reasons people might need this procedure is if they have a condition that prevents them from coughing. Coughing is important because it protects the lungs and carries away mucus and bacteria. People who have trouble swallowing might also need tracheostomies.
So where does smoking come into play? Smoking can cause cancer of the throat, mouth, larynx and lungs which will all interfere with breathing. Chronic smoking can lead to people needing tracheostomies.
It also causes various respiratory diseases like chronic bronchitis which is a long term (chronic) inflammation of the large airways, emphysema which is a chronic lung condition that affects the air sacs in the lungs and can cause shortness of breath and coughing among other symptoms.
If you or someone you know needs help quitting smoking or tracheostomy related issues call Asana Recovery at (949)-763-3440. We offer medical detox, residential and outpatient programs and you’ll be taken care of by a team of medical professionals, counselors and therapists.
Sources:
https://www.ncbi.nlm.nih.gov/books/NBK559124/
FAQs About Smoking and Tracheostomy
What happens during a tracheostomy?
During a tracheostomy, a surgeon makes an incision in the front of the neck to access the windpipe. A small opening is created, and a tracheostomy tube is inserted to provide a direct airway. This tube allows you to breathe through the neck opening instead of the nose or mouth. The procedure is typically done under general anesthesia, but in emergencies, local anesthesia is used while you remain awake.
When should you seek urgent medical help after a tracheostomy?
You should seek immediate medical help if you experience breathing difficulties, a blocked tracheostomy tube, heavy bleeding around the site, sudden pain, swelling, or redness. These issues could indicate a serious complication requiring prompt intervention.
How is a tracheostomy performed in an emergency?
In emergency situations, a tracheostomy is done quickly under local anesthesia, which numbs the neck area while you remain awake. A surgeon makes a small incision in the front of the neck, inserts the tracheostomy tube into the windpipe, and secures it with tape to maintain airflow.
What are the risks and complications associated with a tracheostomy?
Potential risks of a tracheostomy include bleeding, damage to the surrounding windpipe or tissues, blockages in the tube, improper healing after removal, and air accumulation in the chest, which can cause breathing difficulties or lung collapse.
How is a tracheostomy tube removed, and what happens afterward?
A tracheostomy tube is removed once you can breathe without assistance. The site is covered with a dressing, and the opening usually heals within 7 to 10 days. You may experience mild pain or scarring, but these issues typically improve over time. Proper follow-up care ensures smooth recovery.
How often does a tracheostomy tube need to be changed?
A tracheostomy tube is usually replaced every 28 days to maintain hygiene and prevent blockages. However, medical conditions or changes in breathing needs may require more frequent replacements or adjustments.
Can you go home with a tracheostomy?
Yes, many individuals can go home with a tracheostomy. Before discharge, you and your caregivers will receive training on cleaning the site, managing the tube, and recognizing signs of complications. Follow-up support, such as home nurse visits, ensures you adjust safely.
How long do you need to stay in the hospital after a tracheostomy?
The hospital stay depends on the reason for the tracheostomy and your recovery progress. Elective procedures may require a shorter stay, while emergency cases or complications might lead to extended monitoring before discharge.
Can you eat and drink with a tracheostomy?
Initially, eating and drinking might be challenging. Nutrition is often provided through an IV or feeding tube. Once you heal, healthcare professionals can guide you through relearning how to swallow safely.
When should a tracheostomy tube be replaced?
A tracheostomy tube should be replaced if it becomes blocked, damaged, or no longer meets your medical needs. Routine replacements are performed every 28 days to maintain proper airflow and reduce the risk of infection.
How does a tracheostomy impact speaking ability?
A tracheostomy can initially prevent you from speaking because air does not pass over your vocal cords. Speech therapy and special devices, like a speaking valve, can help restore your ability to communicate.
How should you care for the tracheostomy site at home?
Caring for a tracheostomy at home involves cleaning the stoma (opening), changing dressings regularly, and ensuring the tube remains clear of blockages. Proper hygiene and following medical advice are crucial for preventing infections.
What are the signs of infection around a tracheostomy site?
Signs of infection include redness, swelling, pain, warmth, or pus around the tracheostomy site. Fever and unusual discharge may also indicate an infection, requiring prompt medical attention.
Can you shower with a tracheostomy tube in place?
Yes, you can shower, but it’s essential to keep the tracheostomy tube dry. Use a waterproof cover or face away from the water to prevent moisture from entering the tube, as this can lead to complications.
How do you handle a blocked tracheostomy tube?
If a tracheostomy tube becomes blocked, try to clear it by suctioning. If breathing becomes difficult, seek immediate medical assistance to avoid complications.
What is the difference between a temporary and permanent tracheostomy?
A temporary tracheostomy is used for short-term airway management and can be removed once normal breathing is restored. A permanent tracheostomy is used for long-term or lifelong airway access due to chronic medical conditions.
Is it painful to have a tracheostomy?
The procedure itself is performed under anesthesia, so you won’t feel pain during surgery. Afterward, you may experience some discomfort, which can be managed with pain medications as you recover.
How long does it take for a tracheostomy stoma to heal after tube removal?
After a tracheostomy tube is removed, the stoma (opening) usually heals within 7 to 10 days. Proper dressing care and hygiene help facilitate the healing process.
What activities should you avoid after a tracheostomy?
Avoid swimming, direct water exposure to the tracheostomy tube, and strenuous activities that may dislodge the tube. Follow medical advice to gradually resume safe physical activities.
How can you communicate after having a tracheostomy?
Communication can be achieved through writing, gestures, or special devices like a speaking valve. Over time, with speech therapy, many individuals regain the ability to speak while managing their tracheostomy.
