Transcription of Tracheostomy Tubes
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Tracheostomy Tubes
Tracheostomy TubesDean R Hess PhD RRT FAARC and Neila P Altobelli RRTI ntroductionAnatomy of the Tracheostomy TubeTracheostomy Tube MaterialTracheostomy Tube DimensionsExtra Length Tracheostomy TubesDual-Cannula Tracheostomy TubesFenestrated Tracheostomy TubesSubglottic Suction PortTracheostomy Tube CuffsStomal Maintenance DevicesChanging the Tracheostomy TubeDecannulationTracheostomy TeamsWard Versus ICUS peaking With a Tracheostomy TubeSpontaneously Breathing PatientsMechanically Ventilated PatientsSummaryTracheostomy Tubes are used to administer positive-pressure ventilation, to provide a patent air-way, and to provide access to the lower respiratory tract for airway clearance. They are availablein a variety of sizes and styles from several manufacturers. The dimensions of Tracheostomy tubesare given by their inner diameter, outer diameter, length, and curvature.
The most commonly used tracheostomy tubes are made from polyvinyl chloride (PVC), silicone, or polyurethane. PVC softens at body temperature, conforming to patient anatomy and centering the tube in the trachea. Silicone is naturally soft and unaffected by temperature, resists colo-nization and biofilm buildup, and can be sterilized. Some
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