What is a Bivona tracheostomy tube?
The Bivona tracheostomy tube is much like a foreshortened endotracheal tube. It has a grip that secures the tube at the desired position. One disadvantage is that the Bivona tracheostomy tube is a single-lumen tube. Meticulous care must be taken because this tube does not have an inner cannula to remove for cleaning.
Are Bivona Trachs cuffed?
The Bivona® Adult TTS™ tracheostomy tube provides multiple features in one design. The cuff, when inflated, creates a seal between the tube and the trachea, protecting against aspiration and optimizing respiration. When the cuff is deflated, it rests tight to the shaft of the tube.
What do you do when a tracheostomy tube is dislodged?
A dislodged tube also calls for immediate attempts at manual ventilation, and suction with a solution of sodium chloride. This will rule out a mucus plug. Once this is done, to prevent brain damage the nurse should immediately deflate the tracheostomy cuff and take out the tracheostomy tube.
What is the purpose of a cuffed tracheostomy tube?
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.
What is the difference between Shiley and Bivona?
Shiley vs Bivona Shiley is plastic compared to silicon (more rubbery) Bivona. Flanges are different between Shiley and Bivona. Shiley you can usually just push back in if they come out. Bivona you have to get the obdurator to put it back in.
How do you know if your trach tube is dislodged?
Signs of tracheostomy tube dislodgement include the following:
- Increased work of breathing.
- Noisy breathing.
- Respiratory failure.
- Voice changes (if able to phonate, not being mechanically ventilated)
- Subcutaneous emphysema.
- Obvious malposition of the flange/tube.
- Visible cuff in the tracheostoma.
What happens when you accidentally remove a tracheostomy?
Tracheostomy tube (TT) is usually removed in a planned manner once the patient ceases to have the condition that necessitated the procedure. Accidental decannulation or extubation refers to inadvertent removal of tracheostomy tube out of the stoma. It could prove fatal in an otherwise stable patient.
What is the difference between a cuffed and uncuffed tracheostomy tube?
Tracheostomy tubes can be cuffed or uncuffed. Uncuffed tubes allow airway clearance but provide no protection from aspiration. Cuffed tracheostomy tubes allow secretion clearance and offer some protection from aspiration, and positive-pressure ventilation can be more effectively applied when the cuff is inflated.
How do you clean a Bivona tracheostomy?
Disinfecting a Bivona Trach Tube
- Fill clean pot with water. Bring water to rolling boil on stove.
- Immediately place trach tube, obturator, and wedge into water. Cover pot with lid and allow water to cool.
- Wash work surface and cover with clean towel. Place all items on the clean towel and allow to air dry completely.
How often do you change Bivona trach?
Bivona trach tubes may be cleaned, sanitized and reused 5 times for infants and children before replacing. Adults may clean, sanitize, and reuse Bivona trach tubes 10 times before replacing. If you are not receiving enough supplies from your home health company, let your doctor know right away.
What kind of tracheostomy tube is Portex?
Portex Blue Line Ultra Tracheostomy Tubes ® The Blue Line Ultra Tracheostomy Tube is your one tube solution. Tubes are available separately for surgical placement or included in percutaneous tracheostomy kits and can be used in both an in-patient and out-patient setting.
What makes a tracheostomy tube blue line Ultra?
The tracheostomy tube’s thermosensitive PVC construction provides initial firmness for ease of insertion which then conforms to the patient’s airway at body temperature reducing trauma. The Blue Line Ultra ® material is radiopaque which enables clear visualisation for correct tube positioning.
Why are cuffed tracheostomy tubes important to the patient?
Cuffed Blue Line Ultra ® Suctionaid ® tracheostomy tubes with subglottic suction line are intended to improve patient well-being by maintaining a clean, hygienic and unobstructed airway through the ability to remove secretions above the cuff.
What are the benefits of cuffed Blue Line ultra?
Product Benefits. Cuffed Blue Line Ultra ® tracheostomy tubes are intended to maintain patency of a patient’s airway and prevent aspiration: Suction lumen to enable removal of secretions is integrated into tube wall for smooth, easy insertion to minimise trauma.
