After how many days should a tracheostomy tract be well established?

A tracheostomy tract is typically considered well established after 7 days. This time frame allows for adequate epithelialization and healing of the tracheal wall following the placement of the tracheostomy tube. By the end of the first week, the stoma should have stabilized, and the surrounding tissue will have formed a secure bond with the tracheostomy tube.

This period is important for ensuring that the tract does not become obstructed or infected, and that it holds its shape and security to facilitate breathing through the tube. In clinical practice, a well-established tracheostomy is essential for patient safety and comfort, enabling easier care and management of ventilation needs.

While the choice of 16 days may suggest that it might take longer for some patients, the general guideline in the medical community is firmly established at around 7 days for optimal healing and establishment of the tract.