What is the difference between Shiley and Bivona trach?
Table of Contents
What is the difference between Shiley and Bivona trach?
Shiley and Bivona tracheostomy tubes come in both cuffed and uncuffed styles. Shiley tracheostomy tubes also include models with a fenestration hole that improves vocalization. While Bivona has carried some models with a fenestration hole, Shiley carries a larger stock, variety, and size range with this feature.
Are Shiley trach tubes being discontinued?
As of September 30, 2021, Medtronic will discontinue the manufacture and distribution of the legacy Shiley™ disposable and reusable cuffed and cuffless tracheostomy tube product portfolio.
What does LPC trach stand for?
CFN- Cuffless Fenestrated (non-disposable) LPC- Low Pressure Cuffed.
Does a Bivona trach have an inner cannula?
The Bivona® tracheostomy tube has the 15mm connector on the tube, not the inner cannula, which aids in connection to anaesthetic and ventilator breathing circuits.
What are the different types of tracheostomy tubes?
Types of Tracheostomy Tubes
| Tube | Indication |
|---|---|
| Cuffed Tube with Reusable Inner Cannula | |
| Click picture to enlarge | Used to obtain a closed circuit for ventilation |
| Cuffless Tube with Disposable Inner Cannula | |
| Click picture to enlarge | Used for patients with tracheal problems Used for patients who are ready for decannulation |
How often should a Shiley trach be changed?
The Shiley corporation recommends changing their poly- vinyl chloride (PVC) tracheostomy tubes every 29 days. Similarly, the Portex Blue Line package insert recommends 30 days as the maximum recommended period of use. The Portex Bivona tube package insert recommends it be used for up to 29 days.
What size inner cannula do you obtain for trach Care?
15mm connector – part of the tracheostomy tube or inner cannula that sticks out at the neck. Ventilator tubing, a manual resuscitation bag, or a speaking valve may be connected to the 15mm connector.
Can you use a nasal cannula with a trach?
Nasal Cannula Application: Nasal cannula application may be used during the tracheostomy tube weaning process, when the tracheostomy tube is capped, or with use of the PMV.
What does Bivona TTS stand for?
TUBE INFORMATION • The Bivona Tight to the shaft (TTS) tracheostomy tube is. made of soft silicone material which conforms easily to. cuff so is not recommended for those who have their cuff.
How do you choose a trach tube size?
The outer diameter of the tracheostomy tube should be about ⅔ to ¾ of the tracheal diameter. As a general rule, most adult females can accommodate a tube with an outer diameter of 10mm, whilst an outer diameter of 11mm is suitable for most adult males.
How do you clean Shiley inner cannula?
Remove the inner cannula while holding the neck plate of the trach still. Place inner cannula in peroxide solution and soak until crusts are softened or removed. Use the brush or pipe cleaner to clean the inside, outside and creases of the tube. Do not use scouring powder or Brillo pads.
What is the difference between the inner and outer cannula for a tracheostomy?
The outer cannula is the outer tube that holds the tracheostomy open. A neck plate extends from the sides of the outer tube and has holes to attach cloth ties or velcro strap around the neck. The inner cannula fits inside the outer cannula.
How do you give oxygen to a patient with a tracheostomy?
A dressing will be placed around the opening in your neck and tape or stitches will be used to hold the tube in place. If you’re unable to breathe unaided, the tracheostomy tube can be attached to a machine (ventilator) that supplies oxygen to assist with breathing to increase the flow of oxygen to your lungs.
Can an RN change a trach?
The first tracheostomy tube change should be performed by the physician after 3 to 5 days when the tract is well formed. Thereafter, the tube may be changed by a registered nurse for the following indications: Physician order. Weekly tracheostomy change for hygiene measures.
