Quote from MissJoRN
I'm taking a self study trach vent course for homecare, I found several resources but can't find any real info on the circuit- set up, parts, etc. Maybe I'm worrying too much about varient details, but I'd like to know what to expect before the hands on portion of my (short, short) course. I don't even know why the (heavy corrugated) tubing is bifurcated a few inches from the trach? What about the micro-tubing? I think that attaches somewhere with luer adaptors? Other attachments- filters, humidifiers, neb spacers? Do my questions even make sense?
I know to have the circuit ready to go before disconnecting anything (well duh!) And to disconnect the pt first then the vent end but set up to the vent first, then the pt, right? But I want to feel comfy with the function of all the parts, not just an automatic, mechanical piece A goes to piece B.
Thanks so much!
I work for an agency that handles both adults and pediatrics on vents in thier home. I am the preceptor for the adults with vents as the lady Icare for has an unusual type of trach tube and has been on her trach/vent for more than 3 years. Depending on your DME (durable goods company) the most comman home vent is the Puriten-Bennet LP-6 or LP-10. It is used for adults or children over the age of 15 or so. It can be used with an HME (or as we refer to them 'the nose') or with a heated water cascade that is mounted beside it. Important to know and remember no oxygen or vent should be used without some sort of humidifcation. Another common vent in home care, due to its portability, is the Newport HT-50. It has the ability to also be used with HME or can be adapted to use with heated cascade. It has an additional reminder in that each circuit MUST be recalibrated as the exhale valve for this vent is in the circuit and must be matched with the vent with each circuit change.
With children, or people who have lost most of thier breathing muscles (MD, ALS, or spinal injury) the most comman vent in home care has been the T-bird. This vent uses an HME and is the newest of the three I've mentioned.
There are several other older vents for children but they are individual to each case and choice of the doctor. A good web site to check on the differnt types of vents you might come across is Ventworld.com. Or you can go to the above manufactures and they will have more information.
Mallinckrodt is another company that may give you further information. They sell both trach tubes and vent supplies.
I hope this helps, PM me if you have any other questions.