If the prosthesis ends up being dislodged, it should be replaced as soon as possible with a versatile catheter of a compatible size to prevent aspiration of esophageal contents, and to keep the opening between the trachea and the esophagus so that a voice prosthesis can be inserted at a later time. The catheter size can vary from 14 Fr. to 20 Fr.
- Figure out shortness of breath:
The rescuer should position his/her ear over the individual's stoma, then
1) search for the chest to rise and fall,
2) listen for air getting away throughout exhalation, and
3) feel the circulation of air, if the chest does not move and no air is breathed out, the individual is breathless. This assessment ought to take just 3 to 5 seconds.
- Analyze the laryngectomy and the stoma tube or tracheostomy tube which might remain in the stoma:
If there are secretions, a blockage, or blockage in the opening, wipe it away, if a suction apparatus with soft tubing comes in handy, insert the tube 3 to 5 inches into the neck opening and suction for a few seconds.