Tracheostomy Tube: There are increasing numbers of patients, both in hospital and the community, who have tracheostomy tubes. A tracheostomy provides direct access to the trachea by surgically making an opening in the neck. Once an opening is made it needs to be maintained, which is by tracheostomy tube, of which there are several types.
Tracheostomy is used in two broad types of conditions:
- Acute setting – usually in an emergency to obtain an airway and in ventilated patients who are having difficulty weaning off the ventilator.
- Chronic or elective setting – usually when the patient is to be ventilated for the longer term.
May be temporarily or permanent tracheostomy tubes have facilitated positive tracheostomy outcomes through innovative designs that simplify patient care. Our tracheostomy tubes help provide the right fit and maintain airway patency, helping clinicians to ensure patient safety and comfort.
Indications for a tracheostomy
- Obstruction of the upper airway – eg, foreign body, trauma, infection, laryngeal tumor, facial fractures.
- Impaired respiratory function – eg, head trauma leading to unconsciousness, bulbar poliomyelitis.
- To assist weaning from ventilatory support in patients in intensive care.
- To help clear secretions in the upper airway.
Tracheostomy can be performed in theatres (open surgical tracheostomy) or at the bedside (percutaneous dilatational tracheostomy), the latter being common on intensive care units (ICUs). A meta-analysis has concluded that percutaneously dilated tracheostomy is the procedure of choice in acute ICU patients.