In the first 24 hours after tracheostomy placement, how often should suctioning and humidification be performed?

• A. Every hour
• B. Every 2 hours
• C. Every 4 hours
• D. Only when signs of blockage

Answer: (A)

After tracheostomy, inspired air is no longer properly humidified by the upper airway, so secretions tend to become thick and can accumulate in the tube. In the first 24 hours this makes airway patency a priority, so suctioning and humidification are typically performed hourly to keep the airway moist and clear. This frequent care helps prevent mucus plugging, desaturation, and respiratory compromise. Spacing the care to every 2 or 4 hours increases the risk of secretions building up, and waiting for signs of blockage can allow problems to develop before you intervene. As the patient stabilizes, the frequency can be adjusted based on secretions and clinical status.