Page 350 - CHHA Binder 2.3.20

4/11/2019

Tracheostomy Tubes and Their Uses

Tube Purpose Indications
Cuffed Single Cannula Extra length, larger inner Positive pressure
diameter ventilation, protection
from aspiration, center
tube in airway, OSA,
obesity, thick/deep neck
Uncuffed Single Cannula Extra length, larger inner OSA, obesity, thick/deep
diameter neck. Non-ventilated
patients
Cuffed Dual Cannula Airway Maintenance, Positive pressure
secretion control/access ventilation, protection
to suction from aspiration, center
tube in airway. Primary
surgical tube
Uncuffed Dual Cannula Long-term airway Capability to move to smaller
maintenance, secretion size as patient improves. Non-
control/access to suction ventilated patients

Cuffed Tracheostomy

If the patient has a cuffed tracheostomy, attach a 5-10 cc
syringe into the cuff to deflate the air
*** Document the amount of air withdrawn***
To re-inflate, slowly inject the amount of air (2-5 cc) to
achieve adequate seal
Use a stethoscope during inflation to gauge proper
inflation point
Check for air leaks

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