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Coughing up phlegm through a cannula

Started by Steven Smith54 · · 👁 4 views · 6 replies

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Participants Steven Smith54Sam Hall15Scott Allen10Brandon Moore4Chloe Scott5shadowbison75
Steven Smith54 Steven Smith54 NewcomerOP
1 message
joined May 2009
#1 ·
I might not have phrased the title perfectly, but basically...
I have an elderly family member who may need to rely on a CPAP machine permanently just to breathe properly.

I'm wondering if there is anything available at local pharmacies to help someone using a CPAP clear out the mucus buildup in their throat, since they're already struggling quite a bit.

Thanks.
Sam Hall15 Sam Hall15 Active Member
225 messages
joined May 2006
#2 ·
I am not entirely sure of the underlying cause for a permanent tracheostomy, but provided there is no central pathology or remaining tonsillar muscle tissue, patients should theoretically be able to clear secretions from the oral and nasal cavities... However, the more critical point is the necessity of clearing the lower airways, which requires using suction machines to clean the trachea and bronchi...
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#3 ·
Steven Smith54 said:I might not have worded my title perfectly, but basically...
I’ve got an older family member who might need to live with a tracheostomy tube permanently just to breathe normally.

I was wondering if there's anything you can pick up at a local CVS or Walgreens that helps someone with a trach cough up that mucus buildup in their throat, since they already struggle so much to breathe.

Thanks.

The whole issue with clearing phlegm from the lungs in people with a tracheostomy happens because the air being pulled directly through the tube bypasses the nose and dries out the trachea and bronchial tubes. When we breathe naturally, the air gets warmed and humidified by the nasal passages, but for someone with a trach, that step is missing. That dry air eventually irritates the cilia—those tiny hairs that help move things along—making the mucus thick, sticky, and incredibly hard to cough up. You even get these "plugs," which are essentially hardened casts of parts of the bronchi; if they finally do break loose during a coughing fit, they can fly out like little projectiles across the room...

To help ease this, I really think the most important thing is keeping them in a space that’s comfortably warm and, more importantly, full of moisture. Honestly, old-school tricks like putting a bowl of water on a radiator work wonders. You can also try placing a damp piece of gauze over the tube while they’re resting... If the tube isn't metal, it's super handy to use an HMEF (Heat Moisture Exchange Filter) on it... And for all those reasons, staying properly hydrated is absolutely vital. Someone living with a trach simply cannot afford to be dehydrated...
Brandon Moore4 Brandon Moore4 Newcomer
1 message
joined Aug 2009
#4 ·
Where can I pick up that Heat Moisture Exchange Filter? Looking for an answer... also have my grandmother at home who won't stop coughing, and the mucus is constant. Is there any product out there that actually helps reduce it?
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#5 ·
To HMEF thing actually needs an anesthesia cannula—not the metal kind, obviously—and hospitals usually just grab those from one of the big medical supply giants like PharmamedMADO, Mediva, or Sanyko. If you're looking to pitch this directly to individual doctors or clinics, you'll really need to do some digging into how they handle their own procurement.
But honestly, before you even worry about the HMEF, you’ve got to nail down those other requirements I mentioned in my first post.
Chloe Scott5 Chloe Scott5 Newcomer
1 message
joined Jul 2015
#6 ·
Scott Allen10 said:To use an HMEF, you actually need an anesthesia cannula (not the rigid metal kind), and hospitals usually stock up through four or five different medical supply distributors—companies like PharmamedMADO, Mediva, or Sanyko. If you’re looking to buy these directly as an individual, you’ll really need to reach out to those suppliers and see what their policies are.
But honestly, before we even get into the HMEF, it is much more critical to address those other requirements I laid out in my initial post.


Could someone please tell me where I can find the protective covering that goes over the cannula to keep dirt from getting into the tracheostomy? I'm not entirely sure of the technical name, but it looks like a fabric wrap with gauze on the inside; it fastens around the neck and sits right over the cannula.
Thank you.
shadowbison75 shadowbison75 Newcomer
1 message
joined Feb 2022
#7 ·
I don't want to start a whole new thread, so I'll just drop this here even though things have been quiet lately...

Because of an oropharyngeal tumor, my husband had to undergo a permanent tracheostomy.
As others on this board have already mentioned, there’s a lot of secretion coming through the stoma, and we’ve been shown how to clean and maintain the cannula.

Does that amount of secretion eventually taper off over time?
Is there any hope that he might eventually get back to some kind of normal daily routine?
What is life actually like with a tracheostomy? We all know nothing will ever be the same, but I still find myself hoping....

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