Because a tracheostomy bypasses the nose and mouth, which issue is commonly associated with the tube?

• A. Bleeding or air leakage around the tube.
• B. Secretions can build up in and around the tube.
• C. The risk of local infection is significantly high.
• D. Severe swelling of the trachea and bronchi can occur.

Answer: (B)

When a tracheostomy tube is in place, air moves directly into the trachea, bypassing the nose and mouth. That upper airway normally humidifies, filters, and helps clear secretions. Without it, secretions don’t drain as effectively and cough reflexes are less able to clear them, so mucus and secretions tend to collect around the tube and in the trachea.

This buildup is common and clinically important because thick secretions can block the airway or be aspirated if not cleared, which is why suctioning and proper humidification are key parts of tracheostomy care. The other issues can occur in some cases, but the most typical and notable association with the tube is secretions accumulating around it.