Practical SLP Info© - from Texas Health Care, Fort Worth
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    • Tracheoesophageal Voice Prosthesis (TEP) >
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      • Voicing Tips
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      • TEPs and HME’s During Radiation Treatment
    • The Electrolarynx
    • HME & Tubes >
      • Using an HME Cassette
      • Cleaning Mucous From An HME
      • How To Apply An Adhesive Housing
      • Applying an OptiDerm Adhesive Housing
      • Larytube Use and Cleaning
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      • Overview: Diet and Intake Modifications
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      • VitalStim instructions
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  • Tracheostomy
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    • Trach Tube Anatomy 101
    • Tracheostomy Tube Varieties >
      • Cuffed vs Cuffless Tubes
      • Types of Cuffs
      • Proper Cuff Inflation
      • Fenestrated vs. Non-Fenestrated Tubes
    • Being a “Neck Breather” >
      • Physiologic/Functional Changes
    • Speaking with a Tracheostomy Tube >
      • Understanding How a Voice is Produced
      • Speaking Valves and Alternatives
    • Swallowing with a Tracheostomy
    • Suction
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  • Feeding Tubes
    • Overview
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    • G-Tube Removal: Preparation and Post-Removal Instructions
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  • Reflux
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Cleaning Mucous From An HME

It is very normal to cough and clear secretions throughout the day. With continued use of an HME, these secretions should become more manageable. Many patients notice the amount of secretions diminishes and they become less thick. This will not happen overnight and several weeks may be required to notice this change.

When mucous is coughed, it will rest against the back of the HME cassette were plastic bars known as “mucous guards” are preventing the mucous from deeply penetrating the foam. When this happens, it may become difficult to breath until the mucous is removed. It is important, therefore, to clear the mucous from the HME cassette as often as necessary to ensure you are breathing comfortable and your secretions are well managed.
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Proper Cleaning of the HME:

  • Remove the cassette, holding the housing firmly in place so as not to dislodge in any way.
  • Using a tissue or soft cloth, simply wipe the mucous off the cassette.
  • A soft toothbrush can be used to help clear thicker mucous if necessary.
  • NEVER RUN YOUR HME CASSETTE UNDER WATER, NEVER IMMERSE IN WATER
    This will wash out the salt (an antimicrobial component) that is essential for the HME functionality.

The SLP staff can assist you with any questions you have in this regard.

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