{"id":621,"date":"2025-10-09T20:29:23","date_gmt":"2025-10-09T20:29:23","guid":{"rendered":"https:\/\/cape.childrenshospital.org\/?page_id=621"},"modified":"2025-12-11T17:11:01","modified_gmt":"2025-12-11T17:11:01","slug":"tube-changing","status":"publish","type":"page","link":"https:\/\/cape.childrenshospital.org\/es\/care-at-home\/tracheostomy-care\/tube-changing\/","title":{"rendered":"Cambio de tubo"},"content":{"rendered":"<h2 class=\"wp-block-heading\">\u00bfC\u00f3mo s\u00e9 cu\u00e1ndo debo cambiar el tubo de traqueotom\u00eda de mi hijo?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Es una buena idea planificar un cambio de traqueotom\u00eda de rutina antes de que su hijo coma para reducir la posibilidad de que vomite. El m\u00e9dico de su hijo le indicar\u00e1 con qu\u00e9 frecuencia debe cambiar el tubo de traqueotom\u00eda. Deber\u00e1 cambiarlo antes de la pr\u00f3xima vez programada si hay una emergencia (ver m\u00e1s abajo).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u00bfCu\u00e1ndo es una emergencia?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Necesitas cambiarle el tubo de traqueotom\u00eda a tu hijo de inmediato si:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>El tubo est\u00e1 bloqueado<\/li>\n\n\n\n<li>El tubo se desliza fuera de la tr\u00e1quea de tu hijo<\/li>\n\n\n\n<li>Un cat\u00e9ter de succi\u00f3n no puede pasar a trav\u00e9s del tubo de traqueotom\u00eda.<\/li>\n\n\n\n<li>El tubo\/la manga no se mantiene inflado.<\/li>\n\n\n\n<li>Tu hijo muestra se\u00f1ales de tener problemas para respirar:\n<ul class=\"wp-block-list\">\n<li>La piel est\u00e1 p\u00e1lida o se ve azul<\/li>\n\n\n\n<li>Los m\u00fasculos entre las costillas tiran hacia adentro (llamados retracciones)<\/li>\n\n\n\n<li>Aleteo de las fosas nasales&nbsp;<\/li>\n\n\n\n<li>Un ritmo card\u00edaco m\u00e1s alto<\/li>\n\n\n\n<li>No ves que el pecho de tu hijo se levanta y se hunde como de costumbre (o en absoluto)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u00bfQu\u00e9 suministros necesito para cambiar un tubo de traqueotom\u00eda?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Para cambiar el tubo necesitar\u00e1s:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ox\u00edmetro<\/li>\n\n\n\n<li>Bolsa de reanimaci\u00f3n autoinflable con v\u00e1lvula de alivio y mascarilla facial<\/li>\n\n\n\n<li>Ox\u00edgeno<\/li>\n\n\n\n<li>M\u00e1quina de succi\u00f3n y el cat\u00e9ter del tama\u00f1o adecuado<\/li>\n\n\n\n<li>2 tubos de traqueotom\u00eda: 1 del mismo tama\u00f1o y 1 de un tama\u00f1o m\u00e1s peque\u00f1o<\/li>\n\n\n\n<li>Corbata de tracci\u00f3n<\/li>\n\n\n\n<li>Ap\u00f3sito para estoma<\/li>\n\n\n\n<li>Jeringa<\/li>\n\n\n\n<li>Lubricante soluble en agua (se lava con agua)<\/li>\n\n\n\n<li>Tijeras<\/li>\n\n\n\n<li>Gasa limpia y humedecida<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Para tubos de doble luz:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aseg\u00farate de que el obturador est\u00e9 en su lugar en el tubo.<\/li>\n\n\n\n<li>Verifica que la c\u00e1nula interna desechable est\u00e9 disponible para su inserci\u00f3n (si tu tubo tiene una) una vez que el tubo est\u00e9 en tu hijo.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Para tubos Bivona para adultos: <\/strong>Aseg\u00farate de que el bloqueo obturador funcione correctamente.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u00bfC\u00f3mo preparo y cambio el tubo de traqueotom\u00eda?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Descargue la siguiente hoja informativa educativa para obtener instrucciones paso a paso sobre c\u00f3mo prepararse para cambiar el tubo de traqueotom\u00eda y c\u00f3mo cambiarlo.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color wp-element-button\" href=\"https:\/\/cape.childrenshospital.org\/wp-content\/uploads\/2025\/12\/Trach_changing.pdf\" style=\"background-color:#003087\">Educaci\u00f3n sobre el cambio de tubo de traqueotom\u00eda en PDF<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">\u00bfA qui\u00e9n puedo llamar si tengo preguntas?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Si tu hijo necesita ayuda de emergencia, llama al 911 de inmediato.<\/strong> Para m\u00e1s informaci\u00f3n, por favor llame a su proveedor de atenci\u00f3n primaria.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>\u00bfC\u00f3mo s\u00e9 cu\u00e1ndo debo cambiar el tubo de traqueotom\u00eda de mi hijo? Es una buena idea planificar un cambio de traqueotom\u00eda de rutina<a class=\"excerpt-read-more\" href=\"https:\/\/cape.childrenshospital.org\/es\/care-at-home\/tracheostomy-care\/tube-changing\/\"><b> \u2026Leer m\u00e1s<\/b><\/a><\/p>","protected":false},"author":4,"featured_media":0,"parent":525,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-621","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tube Changing - CAPE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cape.childrenshospital.org\/es\/care-at-home\/tracheostomy-care\/tube-changing\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tube Changing - CAPE\" \/>\n<meta property=\"og:description\" content=\"How do I know when to change my child\u2019s trach tube? 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