氣管內管及氣切口的清潔（中英文版）

因為在網路上所能找到的中英文衛教單張較少，之前所推薦一些不錯的中英文衛教單張網站又已無法連結，因此補充一些中英文對照的衛教單張於部落格上提供參考，您可至桃園縣長照中心所下載英文衛教單，因為是全英文的衛教單，因此在這補充中文說明方便對照！

THE CHAPTER ON CLEANLINESS OF THE INNER CANNULA & TRACHEOTOMY 氣管內管及氣切口的清潔篇

CLEANLINESS OF THE INNER CANNULA & TRACHEOTOMY 氣管內管及氣切口的清潔
Odorless of the tracheotomy is able to keep our family member more comfortable!
Let`s try it out!
您一定沒想到使氣切口維持乾淨及無味可以讓我們的家人更感舒適喔!我們來試一試吧!

PREPARATION & NEEDED ITEMS 您需準備的用物
●A small cleaning brush 清潔用的小刷子
●A sterilized Y-shaped dressing 已消毒的Y型紗布
●Hydrogen peroxide solution 雙氧水
●A lunch box with a lid (after being sterilized in boiling water, use it to hold solution) 有蓋小便當盒 (煮沸消毒後用來裝溶液)
●Normal saline solution (germ-free) 生理食鹽水 (無菌的)
●Beta-iodine solution 優碘藥水
●Cotton swabs 棉花棒
●Two neck straps for the tracheotomy connector 氣切套管固定帶兩條
●A 4x4 inch dressing (sterilized) 4x4 紗布一塊 (消毒)

PROCEDURE 步驟
1.Wash your hands.洗手
2.After fixing the exterior tube, turn the release knob and pull out the inner cannula slowly.固定外管後，將卡鈕上轉，輕拉出內管
3.Dip the inner cannula in hydrogen peroxide solution for several minutes till the respiratory secretion drops off, then clean it with a brush, boil it for 15~20 minutes and dip it in normal saline solution.將內管置於雙氧水內浸泡數分鐘至痰液脫除，再用刷子清洗乾淨，煮沸15~20分鐘後放入生理食鹽水內
4.Dry it with a dressing, and insert it back on the tracheotomy and secure it.以紗布擦乾後，置入並固定
5.Pull out the Y-shaped dressing from the tracheotomy.拉出氣切口原有的Y型布
6.Use the cotton swab dipped with beta-iodine solution to clean the tracheotomy opening for 30 seconds, and rub the surrounding area with normal saline solution.綿花棒沾優碘，塗抹切口周圍30秒後，再以食鹽水擦拭一圈
7.Replace it with a new Y-shaped dressing.置放新的Y型紗布
8.If the neck strap of the connector is loosened or dirtied, please retighten it or replace it with a new one.套管固定帶若鬆了、髒了，請重新綁緊或更換新的帶子

NOTE　注意事項
1.Clean the inner cannula once or twice daily, and more cleaning sequences if the respiratory secretion intensified.清潔氣管內管，每日需一至二次，如果痰量多，則須增加清潔次數
2.After cleaning the inner cannula with the small brush, dip it in hydrogen peroxide solution, or further boil it for 20 minutes.內管取出，用小刷子清洗後，泡入雙氧水沖洗乾淨，可煮沸20分鐘
3.If the Y-shaped dressing and the neck strap are soaked or dirtied, they must be changed immediately. Y型紗布及氣切套管固定帶濕了或髒了，須馬上更換
4.With permission from the doctor, the conscious patient with a long-term tracheotomy opening can be taught to cover up the opening with a finger and trained to talk, but normally he/she is advised to communicate with paper and pen.意識清楚者需經由醫師許可下，才可教導長期有氣切造廔口者用手指蓋住氣口訓練說話，平常可用紙筆文字表達
5.Be careful not to allow water from getting into the patient lungs while bathing or showering in the bathroom: put on a scarf or wrap the tracheotomy opening with a 4x4 inch dressing to prevent irritation caused by dust and foreign objects.到浴室洗澡或沐浴者小心勿讓水進入肺內；外出時可戴圍巾或者4x4吋紗布圍住，避免塵埃及外物刺激氣切造廔口
6.You may cut a central hole on a small plastic pharmaceutical cup and place on top of it with a 2x2 inch dressing dipped with normal saline solution. Use this as a cover to cap over the tracheotomy connector, and drip normal saline solution or cold drinking water on the dressing to keep it damp constantly.可利用塑膠小藥杯，中間剪開一個洞口，上面放置生理食鹽水紗布2x2吋，將準備好的罩子，蓋在氣切套管口上面，為保持紗布潮濕，應常滴生理食鹽水或冷開水在紗布上面
7.Beware of blanket and shirt sleeve while sleeping at night, never let it cover the tracheotomy to prevent blockage of the opening.夜晚睡眠時需注意被子及領口，勿蓋住氣切口，以防呼吸道氣切口被阻塞