Description

Shiley™ pediatric tracheostomy tubes are specifically designed for neonatal and pediatric patients requiring effective airway management. These cuffless tubes are crafted to maintain an open airway by holding the tracheal stoma open, providing essential support for young patients.

Key Features

• Cuffless Design: Allows airflow around the tube, enabling some speech capabilities and enhancing comfort.
• Single Lumen: Features only an outer cannula, suitable for the small diameters needed in pediatric care.
• Transparent, Soft Flange: Improves patient comfort and allows easy visualization of the skin.
• Comfort Recess on Connector: Minimizes stoma irritation for a more comfortable experience.

Enhanced Fit and Versatility

• Higher Flange Angle: Available in models with codes starting with P (PEF, PCF, PELF, PLCF) for a better fit.
• Expanded Size Options: Offers more choices and softer materials compared to previous models.
• Standard and Extra-Long Versions: Accommodates various patient anatomies.
• Universal 15mm Hub: Ensures compatibility with ventilator circuits and other medical equipment.

Practical Accessories

• Obturator Included: Facilitates safe insertion and should be kept at bedside for emergencies.
• Flange Markings: Clearly indicates tube size, brand, and cuff type.
• Compatibility: Works with fenestrated gauze dressings and one-way speaking valves when no cuff is present.

Material and Sizing

Manufactured from medical-grade polyvinyl chloride (PVC) with a non-DEHP plasticizer, these tubes are available in internal diameters ranging from 2.5mm to 6.5mm. The sizing follows the Chevalier Jackson system, with dimensions marked on the flange for easy reference.

Securing Method

• Cotton or Velcro Ties: Used for securing, with proper tension allowing one finger to fit snugly between the skin and the ties.

Maintenance and Use

Designed for single-patient use, most tubes are disposable, though some may be reusable according to manufacturer instructions. Proper cleaning involves washing with warm tap water and mild soap, using the obturator to clear secretions, and ensuring thorough drying before storage.

Clinical Considerations

Cuffless tubes are ideal for capping and decannulation procedures. They may affect swallowing and vocalization, so assessment by speech pathologists is recommended. Regular stoma care and cleaning with 0.9% sodium chloride are crucial to maintain skin integrity.

Safety Notes

Healthcare professional consultation is advised before use. The tube should be checked for correct size and integrity, and tie changes should be conducted by at least two competent caregivers. Having a spare tube of the same type and size at bedside is recommended for emergency preparedness.