Tracheostomy Tubes

• There are many types of tracheostomy tubes available, including tubes made of plastic, silicone, nylon, and metal.
• The tracheostomy tube cuff is similar to that of an endotracheal tube.
• Fenestrated tracheostomy tubes have an opening along the dorsal surface of the body of the tube.
• The fenestration allows the passage of air through the tracheostomy tube to the vocal cords so the patient can speak.
• If the tracheostomy is less than 7 days old, the tract will not be mature and manipulation may easily create a false passage within the soft tissue of the neck.

If the situation is not emergent, and the tracheostomy is less than 7 days old, tracheostomy tubes should be changed by a surgeon familiar with the procedure.

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