Specialty Tracheostomy Tubes.
Talking tracheostomy tubes are offered by Puritan Bennett (Phonate™),
Portex (Trach Talk Blue Line®), and Boston Medical (Montgomery®
VENTRACH) to enable speech with an inflated cuffed tube.
Portex Blue Line Extra Length Tubes have two independently inflated cuffs on
the lower end of the extended length tube that allow flexibility in sealing the
tube in alternate locations, or increasing the seal by inflating both cuffs at the
same time.
Bivona Adjustable Hyperflex Tubes from Portex are soft flexible tubes with a
thin spiral wire molded in the tube wall that prevents constriction with tube
flex. An adjustable flange collar allows the tube length to be adjusted to a
desired length.
The Bivona Fome-Cuf® is a type of high volume-low pressure cuff that uses
the passive expansion of a foam rubber-filled cuff to maintain a seal with the
tracheal wall. The foam cuff provides a continuous seal and can be used as
an alternative to air-filled cuffs when persistent air leaks occur with
mechanical ventilation.
The decision to use a specific tracheostomy tube is best made with input from
numerous people including medical staff, allied health and if appropriate, the
individual.