What is a significant risk associated with having a tracheostomy tube?

Having a tracheostomy tube can lead to the build-up of secretions in and around the tube, which is a significant concern. This accumulation of secretions can obstruct the airway and make breathing more difficult for the patient. Regular suctioning is often necessary to maintain patency and prevent blockages. If these secretions are not adequately managed, they can lead to further complications, such as respiratory distress or pneumonia, due to potential aspiration.

While reduced ability to speak, increased risk of lung infections, and difficulties in transporting the patient are valid concerns related to tracheostomy tubes, the build-up of secretions directly impacts airway management and immediate respiratory function, making it a particularly critical risk that requires consistent attention from healthcare providers. Proper care and monitoring can help mitigate this risk, but it remains a central challenge in the management of patients with tracheostomy tubes.