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This one is about: Bathing Trache Babies

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Excerpts from Cleft-Talk:

How do you bathe a baby with a trach? Right now I have been bathing Ivan in a infant tub which has a sloped side for his head and a ledge at his feet. This has worked well so far, but he is getting strong enough to get his feet against the ledge and lift his behind out of the water!!!

I am afraid of putting him into a bigger tub because of the trach. We keep a nose filter on him anyway, but I have a horrible vision of him slipping and going under (bad deal with a trach :-( !! ) So I've been avoiding using any sort of tub that this could happen in, but this little tub isn't going to last much longer. If anyone has any suggestions I would really appreciate it !!!

Thanks
Belle, Ivan's mom

*****
Belle, Hi - Glad to know that Ivan is outgrowing his baby tub! Daphne takes a bath sometimes in that baby tub and sometimes in one of those rings they sit in with the suction cups on the bottom. I keep her "nosie" on, too, and keep the sxn machine close by. Sometimes we even take a bath together. She loves being able to free-float (I hold her head and shoulders up (careful not to get water in ears too) and kick and splash. Hope this helps some.

Dionne, mom to Daphne, 6mth, PRS, trach, g-button
*****
I always kept a ventilator elbow on hand and used that. A ventilator elbow is a small bent adapter that connects the patient to the ventilator. If you have a disposable manual resuscitation bag it's the little part that separates from the valve assembly. I always used one when my daughter was in the bath. It makes washing the hair much easier as it really protects the airway. We even used to take her swimming in a lake with it and never once got water in the trach. One time we had gone camping with a little friend of ours who had a trach. He was being floated on a raft and accidentally got tipped over. Yes, he went under! He was grabbed and was pulled out immediately and because he had this adapter he got no water on his trach.

A pediatrician friend was with us and she was really surprised...she spent a lot of time with the adapter and a glass of water to see why. The air bubble is just like sticking a glass under water. Hope this answers you question...if you have any more questions or need further clarification, let me know.

Betty
*****
Hi, When my son had his trach, he was in the bathtub with his humidivent (artificial nose) on. Once he was too big for the baby tub, we used the suction cup ring to sit him in. I always had a hand on him or right next to him to make sure he didn't tip. We used the artificial nose a lot during the day. Then at night he was on the humidifier. During the day, we would occasionally add saline drops to his trach to keep his secretions thin. We were very fortunate as he had a very strong & productive cough, so he needed very little suctioning.

Renee (mom to Dylan 4yrs w/PRS, repaired hard/soft cleft)

*****
When David had his trach, I used the infant tub at first. When he outgrew that, I used the plain old kitchen sink. When he outgrew that, I used one of those suction rings in the big tub. I always had his T-vent on him for protection against the water. Even after the trach came out, I was very careful, because his stoma did not close on it's own. When he got a bad cold, sometimes there would be secretions from the stoma, until it was surgically closed.

Take care!

Nancy B, mom to David (age 10 with PRS, SS)

*****
You can get a thick sponge mat to use either in the kitchen sink, baby tub or bath tube. Ours was in the shape of a teddy bear with a contoured oval area for Jeremy to rest in. I used it in the kitchen sink, with Jeremy in a more upright position initially, and when he got too big for that, I used it in the bath tub with him lying down on it and just enough water to keep him warm but not fully immersed. We would also have showers with him and used a humid-vent to keep out big splashes.

Now that Jeremy is big enough to sit up and play in the tub, we don't use anything, we just watch him really close. Our biggest problem, switching from a Portex trach tube to a Shiley trach tube, is that he gets water in the tube much more easily when we are rinsing his hair. I have to keep my hand right under his chin and above the trach to deflect the water flow.

Alana


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