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.

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.

How many times can you reuse a 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.

Does Bivona trach have metal?

The Bivona® cuffless or Fome-Cuf® Tracheostomy Tubes without wire reinforcement have been determined to be MR-Safe according to ASTM F2503-05 based on the nature of the materials of construction. They contain no metal.

Why would you use a Bivona trach?

Enhance patient care Easy to clean – Bivona® tracheostomy tube is designed to minimize the risk of contamination. Easy to secure – Eyelets on the flange are designed to reduce skin erosion and still allow for easier threading by the caregiver or patient.

How do you clean Bivona?

Disinfecting a Bivona Trach Tube

1. Fill clean pot with water. Bring water to rolling boil on stove.
2. Immediately place trach tube, obturator, and wedge into water. Cover pot with lid and allow water to cool.
3. Wash work surface and cover with clean towel. Place all items on the clean towel and allow to air dry completely.

Can you boil a Bivona trach?

Rinse completely. Cover with a lid. Leave for only a moment. Next, place the tube and the obturator side by side in a 2 to 4 quart pot of rapidly boiling water.

How do you clean a Bivona tracheostomy?

Wash the trach tube and the obturator in warm soapy water each time you change your child’s trach (at least monthly). Soak up to 1 hour to ensure that the trach is completely clean. Use clear, unscented, non anti-bacterial dish soap. Rinse completely.

Is Bivona trach MRI compatible?

The wire-reinforced tube shaft design is intended for improved kink and crush resistance, while maintaining MRI compatibility. A rounded obturator tip is designed for easy introduction into the trachea with minimal trauma.

How does a Bivona tracheostomy tube work?

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 is a TTS™ tracheostomy tube?

Bivona® Adult TTS™ tracheostomy tube is intended to provide the benefits of cuffed and uncuffed tubes in one: The TTS™ cuff design has the profile of an uncuffed tube when deflated which is intended to minimize trauma when the tube is inserted. The silicone tube construction allows the tube to remain flexible in the trachea.

What is a silicone tracheostomy?

The TTS™ provides a tracheostomy solution for a variety of airway management needs without having to change tubes. The silicone material is intended to provide maximum comfort to the patient and offers a soft, flexible tube alternative to tubes made of more rigid material.

What is a Bivona tube made of?

The Bivona ® uncuffed neonatal and pediatric tube is designed to provide maximum patient comfort through its soft and flexible silicone construction. The silicone tube material is hydrophobic and hypoallergenic, allowing for a tube that is tissue-friendly and easy to clean.