Choosing a paediatric tracheostomy tube: an update on current practice

Abstract

AbstractObjectives: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.