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Tracheostomy Tubes - Respiratory Care

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.

placement in patients with a large neck (eg, obese pa-tients). Extra distal length facilitates placement in patients with tracheomalacia or tracheal anomalies. Care must be taken to avoid inappropriate use of these tubes because they may induce distal obstruction of the tube.5 Several tube designs have a spiral wire-reinforced flex-ible design.

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  Patients, Care, Tracheostomy, Pa tient, Tient

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