Description

The Shiley Tracheostomy Tube, developed by Covidien, a Medtronic company, is a specialized medical device designed to maintain an open airway for patients requiring tracheostomy care. Available in both cuffed and cuffless versions, this tube offers versatility to meet various clinical needs. The flexible adult models come equipped with a disposable inner cannula, enhancing ease of cleaning and maintenance.

Key Features

• Cuff Design: The cuffed models feature a high volume-low pressure cuff, aimed at minimizing damage to the tracheal mucosa. Cuff inflation is managed through air only, using a pilot line and pilot balloon.
• Cannula System: The dual cannula design includes both inner and outer cannulas, with the inner cannula being disposable for improved hygiene.
• Universal Connector: A 15mm connector allows seamless attachment to airway equipment, facilitating positive pressure ventilation and reducing aspiration risks in cuffed models.
• Secure Placement: Each tube is supplied with an obturator for insertion and a neck flange for secure positioning. The tube is secured using cotton or Velcro ties, adjustable for patient comfort.

Sizing and Dimensions

The Shiley Tracheostomy Tube is available in sizes ranging from 4 to 10, based on the Jackson scale. Key specifications include:

• Outer Cannula Inner Diameter: Varies by size, ensuring appropriate fit.
• Cuff Length and Diameter: Tailored to each size, providing effective sealing.

For example, a size 8 model has an outer diameter of 12.2 mm and a length of 79 mm, offering precise dimensions for clinical application.

Intended Use and Maintenance

This tracheostomy tube is intended to facilitate airway management, allowing for effective suctioning and connection to respiratory equipment. Proper tube selection is crucial, considering dimensions like outer diameter and length. Securing the tube requires careful adjustment of ties, and changes should be conducted with aseptic technique by trained personnel.

Reusable tubes necessitate thorough cleaning, drying, and storage according to manufacturer instructions, while single-use tubes must be discarded after use. Regular inspection for blockages or damage is essential, along with diligent stoma care using sterile saline.

Safety Considerations

Potential complications include tube misplacement, blockage, and mucosal injury due to cuff overinflation. Monitoring cuff pressure within the recommended range (20–30 cmH₂O) is vital to prevent tracheal damage. The tube may also affect communication and swallowing, with specific considerations for pediatric and neonatal patients who typically use cuffless versions.

Overall, the Shiley Tracheostomy Tube provides a reliable solution for airway management, with detailed guidelines to ensure safe and effective use in clinical settings.