If the trach tube falls out, don't panic. The stoma does not close completely so you have time to insert a new tube. Always keep an extra tube near your child. Some parents tape a trach tube set to the child's bed, stroller, or humidifier. Always keep one in the car or diaper bag for traveling. If you have a two-story home, consider keeping one set upstairs and one downstairs.
Insert a clean tube into the stoma using the obturator.
Hold the tube in place with your fingers and pull out the obturator.
Replace the ties.
When a clean tube is not available, use the old one and secure it with ties. If the old tube is not usable and there is not a clean tube available, place a hollow item--such as a suction catheter--into the stoma until a new tube can be located. Hold the item in place until you can insert a new trach tube.