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this video shows you how to put your trach tube back in if it comes out you will need a new trach tube the hole in your neck will not close so do not worry take a few slow deep breaths and try to relax before you start find the new tracheostomy tube that is in your tracheostomy care kit open the box and take out the tracheostomy tube and operator put the operator inside the tracheostomy tube someone can help you put your trach tube back in or you can do this in front of a mirror hold the tracheostomy tube with the operator inside with the hand you use to write with as you breathe in insert the tracheostomy tube with the operator in place into the hole in your neck by pushing it in and curving it down while you are pushing it in hold the tracheostomy tube with your fingers and quickly take out the operator put the new inner cannula in and use the new strap to hold your trach in place if you are having severe problems with breathing as suctioning does not help call 9-1-1 right aw