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Choosing a paediatric tracheostomy tube: an update on current practice

Published online by Cambridge University Press:  10 April 2007

D J Tweedie ,
C J Skilbeck ,
L A Cochrane ,
J Cooke  and
M E Wyatt
D J Tweedie*
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
C J Skilbeck
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
L A Cochrane
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
J Cooke
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
M E Wyatt
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
*
Address for correspondence: Mr D J Tweedie, 4 Rusholme Road, London SW15 3JZ, UK. E-mail: [email protected]
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Abstract

Objectives:

A variety of paediatric tracheostomy tubes are available. This article reviews those in current use at Great Ormond Street Hospital.

Methods:

We outline our preferences and the particular indications for the different tubes, speaking valves and other attachments.

Results:

Practice has changed significantly in recent years. One product has been re-sized by its manufacturer; others are no longer commonly used. An updated sizing chart is included for reference purposes, together with manufacturers' contact details.

Conclusions:

The choice of paediatric tracheostomy tube is driven by clinical requirements. A small range of tubes are suitable for the majority of children, but some will require other varieties in specific circumstances.

Keywords

PaediatricsTracheostomyProstheses and Implants
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 2 , February 2008 , pp. 161 - 169
Copyright
Copyright © JLO (1984) Limited 2007

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Footnotes

Presented at the annual meeting of the British Association of Paediatric Otorhinolaryngology, 8 September 2006, Birmingham, UK.

References

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3 Phillips, PS, Kubba, H, Hartley, BE, Albert, DM. The use of the Montgomery T-tube in difficult paediatric airways. Int J Pediatr Otorhinolaryngol 2006;70:39–44CrossRefGoogle ScholarPubMed
4 Stern, Y, Willging, JP, Cotton, RT. Use of Montgomery T-tube in laryngotracheal reconstruction in children: is it safe? Ann Otol Rhinol Laryngol 1998;107:1006–9CrossRefGoogle ScholarPubMed