Zusammenfassung
Das Tracheostoma bedarf stets einer besonderen Pflege zum Funktionserhalt und zur Vermeidung von Komplikationen. Durch Speichel und Sekretaustritt sowie Kanülenbewegungen können Irritationen am Tracheostoma ausgelöst werden. Das Kapitel befasst sich speziell mit Diagnostik und Therapie von Wundinfektionen durch Bakterien und Pilze, Borkenbildungen und lokalen Blutungen. Spezielle Probleme bei vorbestehenden Hauterkrankungen und allergischen Schleimhautreaktionen werden eingehend besprochen. Besondere Beachtung finden die nicht selten auftretenden Narben und Keloide am Stoma mit wichtigen Prophylaxe- und Therapiehinweisen. Zur Sicherung der Funktion und Vermeidung von Komplikationen bei Tracheostoma-Patienten wird auf das Erfordernis von Pflegestandards und Pflegealgorithmen anhand von Beispielen hingewiesen.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Abdel-Naser MB, Yousef N, el-Fakar NZ, Abdullatif OH, Wollina U, Abdallah MA (2005) Invasive zygomycosis with a fatal outcome. Arch Dermatol 141: 1211–1213
Aitken ME, Hammond DC (2002) Double-muscle flap repair of the tethered tracheostomy scar. Ann Plast Surg 49: 328–332
Badia M, Trujillano J, Serviá L, March J, Rodriguez-Pozo A (2008) Skin lesions after intensive care procedures: results of a prospective study. J Crit Care 23: 525–531
Bradley PJ (2009) Bleeding around a tracheostomy wound: what to consider and what to do? J Laryngol Otol 123: 952–956
Clair JS (2005) A new model of tracheostomy care: closing the research-practice gap. In: Henriksen K, Battles JB, Marks ES, Lewin DI (eds) Advances in patient safety: from research to implementation (volume 3: Implementation issues). Agency for Healthcare Research and Quality (US), Rockville (MD)
Cochran A, Morris SE, Edelman LS, Saffle JR (2002) Systemic Candida infection in burn patients: a case-control study of management patterns and outcomes. Surg Infect (Larchmt) 3: 367–374
Devos SA, van der Valk PG (2001) Dermatitis around tracheostomies due to cleansing tissue. Contact Dermatitis 44: 111–112
Fine JD (2010) Inherited epidermolysis bullosa: recent basic and clinical advances. Curr Opin Pediatr 22: 453–458
Garrubba M, Turner T, Grieveson C (2009) Multidisciplinary care for tracheostomy patients: a systematic review. Critical Care 13: R177
Gauglitz GG, Korting HC, Pavicic T, Ruzicka T, Jeschke MG (2011) Hypertrophic scars and keloids: pathomechanisms and current and emerging treatment strategies. Mol Med 17: 113–125
Goodman GJ (2010) The use of botulinum toxin as primary or adjunctive treatment for post acne and traumatic scarring. J Cutan Aesthet Surg 3: 90–92
Guest JF, Ruiz FJ (2005) Modelling the cost implications of using carboxymethylcellulose dressing compared with gauze in the management of surgical wounds healing by secondary intention in the US and UK. Curr Med Res Opin 21: 281–290
Hartzell LD, Havens TN, Odom BH, Stillman TG, Boswell JL, Bower CM, Richter GT (2014) Enhanced tracheostomy wound healing using maltodextrin and silver alginate compounds in paediatrics: a pilot study. Respir Care 59: 1857–1862
Hayashida S, Furusho N, Uchi N, Miyazaki S, Eiraku K, Gondo C, Tsuji G, Hachisuka J, Fukagawa S, Kido M, Nakahara T, Moroi Y, Hayashi J, Hagihara A, Furue M (2010) Are lifetime prevalence of impetigo, molluscum and herpes infection really increased in children having atopic dermatitis? J Dermatol Sci 60: 173–178
Kim DO, Chung JY, Son JS, Kim MC, Kim KS, Kang JM (2010) Membranous obstructive Candida tracheitis as a complication of endotracheal intubation and tracheostomy. J Anesth 24: 287–289
Klemm E, Künstle T, Graf A, Henker M (1999) Tracheotomie: Kritische Anmerkungen und Schlussfolgerungen. Intensivmed 36: 309–313
Maibach H (1975) Acute laryngeal obstruction presumed secondary to thiomersal (merthiolate) delayed hypersensitivity. Contact Dermatitis 1: 221–222
Niehaus HH, Enzmann H (1995) Kontaktallergisch bedingte Trachealstenose durch im Tubus vorhandene Vulkanisationsbeschleuniger? HNO 43: 446–44
Oztürk S, Aksu M, Sengezer M (2004) Split sternocleidomastoid muscle repositioning for correction of depressed post-tracheostomy scar and tracheal tug. Ann Plast Surg 53: 240–244
Pinto DM, Schons Edos S, Busanello J, Costa VZ (2015) Patient safety and prevention of skin and mucosal lesions associated with airway invasive devices. Rev Esc Enferm USP 49: 775–782
Preuss SF, Veelken F, Galldiks N, Klussmann JP, Neugebauer P, Nolden-Hoverath S, Hüttenbrink KB (2006) A rare differential diagnosis in dysphagia: wound botulism. Laryngoscope 116: 831–832
Richter T, Sutarski S (2009) Tracheostoma. Handhabung und Komplikationen. Anaesthesist 58: 1261–1274
Rozsasi A, Neagos A, Nolte F, Riechelmann H, Rettinger G, Keck T (2003) Kritische Analyse von Komplikationen und Wundheilungsstörungen nach Tracheostomie im Kindesalter. Laryngorhinootologie 82: 826–832
Sato J, Goto J, Harahashi A, Murata T, Hata H, Yamazaki Y, Satoh A, Notani KI, Kitagawa Y (2011) Oral health care reduces the risk of postoperative surgical site infection in inpatients with oral squamous cell carcinoma. Support Care Cancer 19 (3): 409–416
Solomon DH, Wobb J, Buttaro BA, Truant A, Soliman AM (2009) Characterization of bacterial biofilms on tracheostomy tubes. Laryngoscope 119: 1633–1638
Tsang M, Guy RH (2010) Effect of Aqueous Cream BP on human stratum corneum in vivo. Br J Dermatol 163: 954–958
Tsunezuka Y, Suzuki M, Nitta K, Oda M (2005) The use of fibrous wound dressing sheets made of carboxycellulose sodium in the postoperative management of tracheostomy. Kyobu Geka 58: 1063–1067
Tsuruta D, Sowa I, Kobayashi H, Ishii M (2006) Contact dermatitis around a tracheostoma due to salbutamol sulphate and aldecin. Contact Dermatitis 54: 121–122
Vennewald I, Wollina U (2005) Cutaneous infections due to opportunistic molds: uncommon presentations. Clin Dermatol 23: 565–571
Verdú Soriano J (2010) Chronic wounds treated with iodinated cadexomer. Study of a series of clinical cases with Iodosorb. Rev Enferm 33: 38–42
Verma SB (2009) Striae: stretching the long list of precipitating factors for “true koebnerization” of vitiligo, lichen planus and psoriasis. Clin Exp Dermatol 34: 880–883
Warman M, Lahav J, Feldberg E, Halperin D (2007) Invasive tracheal aspergillosis treated successfully with voriconazole: clinical report and review of the literature. Ann Otol Rhinol Laryngol 116: 713–716
Wollina U (2000) Contact allergy associated with topical treatment. In: Gebhardt M, Elsner P, Marks Jr JG (eds) Handbook of contact dermatitis. Martin Dunitz, London, pp 71–81
Wollina U (2005) Gestörte Hautfunktion: Konservative wiederherstellende Verfahren. Laryngorhinootologie 84 (Suppl 1): 228–232
Wollina U (2015) Nonsurgical facial scar revision by hyaluronidase – a case series. Kosmet Med 36: 164–166
Wollina U, Hansel G, Vennewald I, Schönlebe J, Tintelnot K, Seibold M, Kittner T (2009) Successful treatment of relapsing disseminated coccidioidomycosis with cutaneous involvement with posaconazole. J Dtsch Dermatol Ges 7: 46–49
Wollina U, Schmidt WD, Krönert C, Nelskamp C, Scheibe A, Fassler D (2005) Some effects of a topical collagen-based matrix on the microcirculation and wound healing in patients with chronic venous leg ulcers: preliminary observations. Int J Low Extrem Wounds 4: 214–224
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
Wollina, U., Pabst, F. (2018). Spezielle Aspekte der Haut- und Schleimhautpflege nach Tracheotomien. In: Klemm, E., Nowak, A. (eds) Kompendium Tracheotomie und Atemwege . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56824-8_18
Download citation
DOI: https://doi.org/10.1007/978-3-662-56824-8_18
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-56823-1
Online ISBN: 978-3-662-56824-8
eBook Packages: Medicine (German Language)