If the area around the stoma is crusted, appears red, or has a foul odor, you may need to use half-strength hydrogen peroxide and water to clean the site.
You will need the following supplies:
Small paper cup
Sterile or distilled water
Follow these steps to ensure proper cleansing:
Fill a small paper cup half way with hydrogen peroxide. Fill the remainder with sterile or distilled water.
Dip two cotton swabs into the solution.
Clean around the stoma with the first cotton swab. Clean the phlanges with the second swab. Repeat these steps if necessary, making sure you use a clean swab each time.
If your child's physician has prescribed a cream or ointment, apply it after the trach skin care is complete.
If your child has excessive trach secretions, place gauze trach dressing (trach sponges) under the trach to absorb the secretions.
If there is a rash or unusual odor from the tracheostomy site, or if the child's secretions have an abnormal color, call your pediatrician.