Perhaps your child needs a tracheotomy for a variety of medical reasons, but you’re not sure about preparing your child for the tracheotomy or caring for him or her afterwards. Don’t worry, we hope this article will help you. There are some preparations before tracheotomy surgery that require your cooperation as a parent. Starting 12 hours before the tracheotomy, the child should not eat anything and starting 4 hours before the surgery, the child should not drink any more water. This is because the tracheotomy is performed under general anesthesia, and eating and drinking can pose a risk of intraoperative and postoperative aspiration, which can be a serious threat to your child’s life. In addition, we will do some pre-operative tests to ensure that the child’s tracheotomy is free of serious bleeding and other risks. Postoperatively, the child should change position less frequently on the day of surgery to prevent detubation. After the second day of surgery, you should encourage your child to change position more often and move to the floor as soon as possible to promote discharge of secretions and prevent pneumonia. At the same time, you need to purchase an ultrasonic nebulizer and negative pressure suction equipment, and buy the same type of suction tube and saline 500ml/bottle and appropriate amount of gauze pads at the pharmacy according to the suction tube you brought with you after discharge, for your child’s care at home after discharge. If your child is stable but still needs to breathe with a tracheal tube, your child can take the tube home. However, you need to understand that the child’s original physiological condition has changed and it can happen that, for example, the cannula falls off or becomes blocked by sputum crusts, etc., which can cause death by asphyxiation. Therefore, after going home (home temperature 20-22°C, relative humidity above 70%), you must pay great attention to the following precautions to minimize complications and let’s work together for the healthy recovery of your child. Your child’s breathing is the most important thing, and should be closely observed. Once you find that your child has difficulty breathing, you should seek medical attention immediately. Your child may experience discomfort when wearing a cannula at first, but never remove the cannula on your own, and prevent your child from pulling and tugging at it. At the same time, keep the cannula open, aspirate regularly, drip water in the cannula regularly (every 1-2 hours), change the gauze pad in time, swab the secretions from the mouth of the cannula at any time, and do not cover the cannula with bedding or collar. A single layer of gauze moistened with appropriate amount of saline can be used to cover the mouth of the cannula to increase the humidity of the inhaled air and prevent the formation of dry scabs. In addition, pay attention to keep the neck wound clean to avoid infection, and return to the hospital to remove the stitches one week after surgery. At 2 weeks after surgery, carry the tube core handed over by the doctor for outpatient follow-up. After tracheotomy, the child loses his vocal ability. Parents should be careful and patient, pay attention to the way of communication and give the child maximum psychological support. For post-tracheotomy children, the tracheal tube is the only way to breathe air, so please make sure you strictly follow the above precautions. Finally, I sincerely hope that our joint efforts will bring our child back to health as quickly as possible.