Description
Shiley™ Pediatric Tracheostomy Tubes are specifically designed for neonatal and pediatric patients who require a tracheostomy to maintain an open airway. These tubes are crafted with a cuffless design, eliminating the need for an inflatable cuff, pilot line, or pilot balloon, which enhances comfort and reduces complexity.
Key Features
- Comfort and Visualization: The transparent, soft flange provides comfort while allowing clear visualization of the skin, ensuring proper placement and reducing irritation.
- Innovative Design: A comfort recess on the connector minimizes stoma irritation, and the use of softer materials compared to previous models enhances patient comfort.
- Size Versatility: Expanded size options ensure a better fit as children grow, with internal diameters ranging from 2.5mm to 5.5mm and lengths from 39mm to 46mm. Extra-long options are also available.
- Anatomical Fit: Tubes with codes starting with "P" feature a higher flange angle for improved anatomical fit.
Material and Safety
- Non-DEHP Plasticizer: Manufactured with a non-DEHP plasticizer, these tubes prioritize patient safety.
- Single-Use Design: Each tube is single-cannula, single-use, and disposable, supplied individually with an obturator for insertion.
Compatibility and Security
- Speaking Valve Compatibility: Compatible with one-way speaking valves, though not to be used with cuffed tubes.
- Secure Placement: Secured with ties around the neck, the flange allows for the use of fenestrated gauze dressing to prevent skin chafing.
Maintenance Guidelines
- Single-Use Only: Intended for single use, with replacement recommended monthly to prevent infection and blockage.
- Routine Care: Includes daily inspection and cleaning of the stoma area with 0.9% sodium chloride.
Clinical Considerations
Cuffless tubes allow air to flow around the tube, potentially permitting speech and reducing the risk of mucosal injury. They are suitable for patients who do not require mechanical ventilation or can tolerate cuff deflation. Proper multidisciplinary assessment may be needed to monitor swallowing and communication, as well as to address potential complications such as blockage or damage.