Which of the following is NOT included in the general care for a patient with a tracheostomy tube?

The removal of a tracheostomy tube, especially in the presence of infection, can lead to serious complications. When a tracheostomy tube is in place, it provides an artificial airway, and removing it prematurely can obstruct breathing, particularly if the patient's airway becomes compromised. Infection around the tracheostomy stoma may indeed require medical attention, but the immediate response is generally to ensure the airway remains patent and secure.

Infected areas may require careful observation and management, but leaving the tube in place allows for continued ventilation and oxygenation until a healthcare provider can assess the infection and determine the best course of action. The other options present essential care protocols: ensuring oxygenation and ventilation, maintaining patient comfort, and suctioning as necessary to keep the airway clear are crucial elements in managing a patient with a tracheostomy.