Originally published on September 13, 2011 P.S. asks, "How do I know that the tube is the correct length?" Answer: It is important to ensure that the tube is neither too short nor too long.  If the tube is too short, it can be easily dislodged.  If too long, the tube can become "mainstemmed" in the right

Originally published on January 11, 2011 B.R. asks, "What if a patient needs a trach that is shorter or longer than the standard trach, because of his individual anatomy?" Answer: A custom trach can be the answer to meet the needs of patients that cannot be met by any of the standard trachs.  Most companies

Originally published on June 24, 2011 Dr. S.A. asks, "I just received a rehab patient with a trach button who has developed pneumonia.  Can I just replace the button with a regular trach?" Answer: A trach button is often placed to maintain the stoma while the patient is gaining strength through rehabilitation.  The benefit of a button

Originally published on May 29, 2011 T.H. asks, "What is the purpose of a fenestrated tracheostomy tube?" Answer: The word fenestration comes from the French word, "la fenetre", meaning 'window'. So a fenestrated tube is one with a window, or a hole, on the dorsal shaft of the tube. The purpose of this hole is