What are the three types of tracheostomy?

Tracheostomy tubes are made of a variety of medical grade materials: plastic, silicone, sterling silver, and stainless steel. Two types of plastics commonly used are (PVC) polyvinyl chloride (Shiley™ and Portex™) and polyurethane (Tracoe®). Plastic tubes are single patient use, and considered disposable.

What are the two types of tracheostomy?

There are essentially two options:
  • Surgical tracheotomy can be performed in an operating room or in a hospital room. …
  • Minimally invasive tracheotomy (percutaneous tracheotomy) is typically performed in a hospital room.

What type of trach is a Shiley?

Shiley Disposable Inner Cannula Low Pressure Cuffed Tracheostomy Tube: This is a polyvinyl chloride tube that has a disposable inner cannula with 15 mm adaptor. This inner cannula is intended for one-time usage and eliminates the need to clean the inner cannula.

What is the difference between a tracheotomy and tracheostomy?

The term “tracheotomy” refers to the incision into the trachea (windpipe) that forms a temporary or permanent opening, which is called a “tracheostomy,” however; the terms are sometimes used interchangeably.

What is the difference between a cuffed and uncuffed trach?

Tracheostomy tubes can be cuffed or uncuffed. Uncuffed tubes allow airway clearance but provide no protection from aspiration. Cuffed tracheostomy tubes allow secretion clearance and offer some protection from aspiration, and positive-pressure ventilation can be more effectively applied when the cuff is inflated.

Can you talk with a fenestrated trach?

Fenestrated tracheostomy tubes are used to allow for increased airflow for voicing. When the cuff is inflated, they can allow for some airflow to pass through the fenestrations to allow for speech.

What is the smallest trach size?

As a general rule, most adult females can accommodate a tube with an outer diameter of 10mm, whilst an outer diameter of 11mm is suitable for most adult males. A tube should be no wider than necessary in order to minimize trauma to the tracheal wall and long term complications.

What is the difference between a cuffed and uncuffed trach?

Tracheostomy tubes can be cuffed or uncuffed. Uncuffed tubes allow airway clearance but provide no protection from aspiration. Cuffed tracheostomy tubes allow secretion clearance and offer some protection from aspiration, and positive-pressure ventilation can be more effectively applied when the cuff is inflated.

What is the difference between a fenestrated and Nonfenestrated tracheostomy?

What is the difference between fenestrated and unfenestrated tracheostomy tubes? The big difference between fenestrated vs unfenestrated tracheostomy tubes is that a fenestrated tracheostomy tube has a small hole or multiple holes in the shaft of the tracheostomy tube, above the cuff (if present).

What is permanent tracheostomy?

A tracheostomy is a surgical procedure that involves making a cut in the trachea (windpipe) and inserting a tube into the opening. A tracheostomy may be temporary or permanent, depending on the reason for its use. Certain groups, including babies, smokers and the elderly, are more vulnerable to complications.

Can you go back to normal after tracheostomy?

After having a tracheostomy you should be able to continue doing everyday activities, but should avoid vigorous activities for about 6 weeks after the procedure. It’s very important to keep the opening of your tracheostomy clean and dry when you’re outside. It will usually be covered with a dressing.

Can you suction through a fenestrated trach?

Suctioning with a fenestrated tube should only be performed with the non- fenestrated inner cannula in situ, to ensure correct guidance of the suction catheter into the trachea.

Does a fenestrated trach have an inner cannula?

Available with a reusable or a disposable inner cannula

Shiley™ adult fenestrated tracheostomy tubes feature an opening that allows for increased airflow and helps permit the patient to breathe through the upper airway, if desired. This may support a patient’s ability to cough, speak/phonate, and wean more effectively.