OVERVIEW OF TRACHEOSTOMY TUBES
INDICATIONS FOR TRACHEOSTOMY
Incision made below thecricoid cartilage through the 2
The opening or stoma made by this incision.
Artificial airwayinserted into the trachea duringtracheotomy
Bypass acute upper airway obstruction.
Chronic upper airway obstruction.
Facilitate weaning from mechanicalventilation by decreasing anatomicaldeadspace.
Prevention / treatment of retainedtracheobronchial secretions.
Prevention of pulmonary aspiration.
Figure 1. TRACHEOSTOMY TUBE IN SITU
Figure 2. TRACHEOSTOMY TUBE COMPONANTS
COMPONANTS OF TRACHEOSTOMY TUBE
(See Figure 2)1.
Fits snugly into outer tube, can be easily removed for cleaning.3.
Flat plastic plate attached to outer tube - lies flush against the patient’sneck.
15mm outer diameter termination:
Fits all ventilator and respiratory equipment.
All remaining features are optional
Inflatable air reservoir (high volume, low pressure) - helps anchor thetracheostomy tube in place and provides maximum airway sealing with theleast amount of local compression. To inflate, air is injected via the...6.
Air inlet valve:
One way valve that prevents spontaneous escape of the injected air.7.
Air inlet line:
Route for air from air inlet valve to cuff.8.
Serves as an indicator of the amount of air in the cuff 9.
Hole situated on the curve of the outer tube - used to enhance airflow inand out of the trachea. Single or multiple fenestrations are available.10.
Speaking valve / tracheostomy button or cap
: Used to occlude the tracheostomy tubeopening (a) former - during expiration to facilitate speech and swallow,(b) latter - during both inspiration and expiration prior to decannulation.