Discharge Instructions: Using an Incentive Spirometer with Your Tracheostomy Tube

An incentive spirometer is a device that helps you do deep breathing exercises. These exercises will help you breathe better and improve the function of your lungs. The incentive spirometer provides a way for you to take an active part in your recovery. Because you have a tracheostomy (trach) tube, your incentive spirometer has a one-way valve called a T-piece instead of a mouthpiece. The opening of the T-piece will fit onto your trach tube. Here’s what you need to know about using this device.

Follow these steps to use your incentive spirometer:

• Fit the T-piece onto your tracheostomy tube. Breathe normally. The T-piece should not make it hard for you to breathe through your trach tube.

• Exhale normally. Relax and breathe out.

• Hold the incentive spirometer upright.

• Breathe in slowly and deeply, inhaling as much air as you can. If you inhale too quickly, the spirometer may make a noise. If you hear this noise, inhale more slowly.

• Hold your breath long enough to keep the balls (or disk) raised for at least 3 seconds.

• Perform this exercise every hour while you’re awake or as often as your doctor instructs.

• If you were also taught coughing exercises, perform them regularly as instructed.

When to Call Your Doctor Call your doctor right away if you have any of the following: Shortness of breath, wheezing, or coughing Red, painful, or bleeding stoma Swelling around the trach tube Fever above 101.0°F Yellow, smelly, bloody, or thick mucus Vomiting that doesn’t go away Note: If you ever have trouble breathing, call 911 (emergency) right away.