Do all Trachs have inner cannulas?

The inner cannula locks into place to prevent accidental removal. Note: Not all tracheostomy tubes have inner cannulas.

What is a fenestrated cannula?

Fenestrated tubes have an opening(s) on the outer cannula, which allows air to pass through the patient’s oral/nasal pharynx as well as the tracheal opening. The air movement allows the patient to speak and produces a more effective cough.

What is a Cuffless trach?

A cuffless tracheostomy tube does not have a cuff (balloon like feature) at the end of the tube. If the patient does not require that the air from the ventilator is monitored and measured and is able to tolerate cuff deflation without respiratory distress, then a cuffless tracheostomy tube may be placed.

What is a trach obturator used for?

The obturator is used to insert a tracheostomy tube. It fits inside the tube to provide a smooth surface that guides the tracheostomy tube when it is being inserted.

Can you suction without inner cannula?

The inner cannula is the tube that fits into the trach at the neckplate. It can be re-usable or disposable depending on your specific situation. The photo shows the suction catheter entering through the inner cannula. Never suction without the inner cannula in place.

Can trach patients smell?

After surgery, your ability to smell will change because air no longer passes through your nose. For a few weeks after surgery, your nose may be sore and runny as its tissues adjust to the lack of air flow. This is normal and will improve over time. A method called “polite yawning” may help improve smell.

Can you suction with a fenestrated inner cannula?

When suctioning through a fenestrated tracheostomy tube, it is important to make sure that the NON-FENESTRATED inner cannula is in place. This is so that the suction catheter does not pass through the fenestrations and cause damage to the surrounding tissue.

What is the purpose of fenestrated inner cannula?

Fenestrations permit airflow, which, in addition to air leaking around the tube, allows the patient to phonate and cough more effectively. That these tubes allow for patient speech is an important feature.

Why are Trachs cuffed?

Cuffed tubes allow positive pressure ventilation and prevent aspiration. If the cuff is not necessary for those reasons, it should not be used because it irritates the trachea and provokes and trap secretions, even when deflated.

Can you ventilate a Cuffless trach?

 Successfully ambu bag a patient with a cuffless trach.  Better understand the trach weaning process.  Better understand the use of one-way speaking valves.  If the patient has an uncuffed trach, you will not be able to ventilate appropriately by bagging through the trach.

Why would you use a fenestrated trach?

Fenestrations permit airflow, which, in addition to air leaking around the tube, allows the patient to phonate and cough more effectively. That these tubes allow for patient speech is an important feature. Fenestrated and nonfenestrated inner tubes are supplied with these tubes.