Using saline solution – Laryngectomy and Electrolarynx guide
Maintaining adequate humidity is crucial for protecting the stoma during the healing process and acclimation to breathing dry air. Using a saline solution is highly effective in keeping the stoma moist and healthy.
Spraying the saline solution into the stoma 1 to 3 times every 2 to 3 hours is sufficient to maintain cleanliness and moisture in the airway. Patients, in addition to their doctor’s guidance, are best positioned to assess the ease of coughing out secretions and the overall health of their airways, characterized by cleanliness, pink coloration, and a glistening appearance.
Unlike natural humidification performed by the nose and mouth, laryngectomy patients rely on direct airflow through the stoma, which can lead to issues such as stoma crusting, airway irritation, breathing challenges, and coughing. Therefore, artificial humidification is vital to mitigate these risks and ensure optimal stoma health.
If possible, patients should have a humidifier in their bedroom, since the stoma tends to crust and dry more at night. The humidifier can be regulated according to the patient’s preferences into warm or cool humidification. Is important to keep this equipment clean to prevent infections and other breathing issues.
Wearing a stoma cover helps keep the stoma clean, dust-free, and retains moisture.
Patients could make their solution at home by following some easy steps.
First, some materials are needed:
- 1-quart saucepan.
- Metal tongs.
- Clean glass jar with a lid.
- 1 teaspoon of table salt.
- Clean tap water.
Here are the step-by-step instructions patients should follow:
- Place the jar, lid, and metal tongs inside the saucepan.
- Fill the pan with clean tap water until the jar is covered.
- Boil the water for 30 minutes.
- Once the water has boiled for 30 minutes, allow it to cool until the tongs can be touched with bare hands.
- Use the tongs to remove the jar from the pan and place it on a table.
- Measure one teaspoon of salt and add it to the jar.
- Using the tongs, place the lid on the jar.
- Tighten the lid and shake the solution thoroughly to mix.
- Store the solution in the refrigerator and use it within 3 days.
- Administer the saline solution using a standard eyedropper or atomizer.
- Discard any unused saline solution after 3 days.
- Prepare more saline solution as needed.
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