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3 Winter Tips for Children with Tracheostomies


A mom and child enjoy the winter snow together.

At Optimum Pediatric Services, we work with many children across the state of Georgia who have tracheostomies. With the winter season upon us, it’s important for caregivers to take note of seasonal changes that can affect children with medically fragile conditions. Cold and dry air as well as indoor heating systems can pose unique challenges, and winter weather can affect children’s respiratory health, comfort, and safety. Here are some key tips to help manage and care for a child with a tracheostomy during the colder months.


Keep the Air Moist for Children with Trachs


Dry air in the winter can cause irritation in the airway and may lead to discomfort or breathing difficulties. Here are some ways to keep the air around your child more comfortable:


  • Use a humidifier: A cool-mist humidifier helps prevent the air from becoming too dry, especially when using indoor heating.

  • Saline spray or nebulizer: For children who tolerate it, saline spray or a nebulizer can provide moisture directly to the airways, helping keep them clear and moist.

  • Ensure adequate hydration: Encourage your child to drink fluids to keep their body hydrated, which helps with maintaining moisture in the respiratory system.


Protect the Tracheostomy from Cold Air


Cold air can be harsh on anyone’s respiratory system. In particular, children with tracheostomies need to take extra care to protect themselves from cold air.


  • Use a scarf or neck gaiter: A soft, breathable fabric like cotton can help cover the tracheostomy tube and keep the cold air out while still allowing air to flow through.

  • Consider a heated airway device: Some devices are available that help warm the air before it enters the tracheostomy tube, offering extra protection against the chill.

  • Avoid exposure to extreme weather: Limit outdoor activities when temperatures drop drastically to reduce the risk of cold-related complications.


Be Prepared for Tracheostomy Emergencies


It’s not uncommon to experience drastic weather events in the winter, such as snowstorms or power outages. If you have a child with a tracheostomy, we encourage you to work with your healthcare provider and child’s care team to make sure you have an emergency plan in place.


  • Have extra supplies ready: Ensure you have extra tracheostomy tubes, filters, suctioning equipment, humidifiers, hygiene supplies, and any other necessary items.

  • Know emergency protocols: Familiarize yourself with emergency procedures, such as how to clear the airway and when to seek urgent medical care. It’s also important for all caregivers involved in your child’s healing journey to be aware of these procedures as well.

  • Keep a charged phone and backup power: In case of a power outage, keep a fully charged phone on hand. We recommend investing in a backup power source, like a battery-operated humidifier, in case of an emergency.


Help Children with Tracheostomies to Stay Safe This Winter


Taking care of a child with a tracheostomy in the winter can be challenging, but with proper planning and precautions, you can ensure your child is safe, comfortable, and healthy throughout the colder months. We also recommend that you consult with your child’s healthcare provider for personalized advice when it comes to navigating the winter months.


Our expert in-home pediatric team specializes in trach care services, and we’re actively preparing to help our patients and their families get through the winter months with ease. If you’re interested in how we can help your child with tracheostomy care, please contact us! We’re ready to assist you!

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