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Tracheostomy Question & Answers - FAQ

What is a fenestrated tracheostomy tube? What is a non-fenestrated tube? This article breaks down the difference between the two.

What is the Difference Between a Fenestrated and Non-Fenestrated Tracheostomy Tube?

The primary difference between the two types of tracheostomy tubes is that a fenestrated tube has an opening in the side of the shaft, while a non-fenestrated does not. This opening allows air to enter so that the patient can speak with the tube in place.

How can you tell if a Tracheostomy Tube is Fenestrated or Non-Fenestrated?

The easiest way to tell if a tracheostomy tube is fenestrated or not is to look for the opening in the side of the shaft. If there is an opening, then it is a fenestrated tube. If there is no opening, then it is non-fenestrated.

When is a Fenestrated Tracheostomy Tube Indicated?

A fenestrated tracheostomy tube is generally indicated for patients who need long-term tracheostomy placement in order to allow them to communicate. Otherwise, a tube without a fenestration would leave the patient without a way to speak for a long period of time.

When is a Non-Fenestrated Tracheostomy Tube Indicated?

A non-fenestrated tracheostomy tube is usually indicated for patients who only need short-term tracheostomy placement. This is because the patient will not need to communicate while the tube is in place, and, as a result, a fenestration is not necessary.

What is a Shiley 6 Cuffless Fenestrated Tracheostomy Tube?

The Shiley 6 cuffless fenestrated tracheostomy tube is a specific type of tracheostomy tube that does not have a cuff. This is beneficial because it reduces the risk of damage to the tracheal wall.

Shiley is one of the leading manufacturers of tracheostomy tubs, and the number “6” refers to the size of the tube.

What is a Cuffed Fenestrated Tracheostomy Tube?

A cuffed fenestrated tracheostomy tube is a type of fenestrated tracheostomy tube that has a cuff. The cuff is inflated in order to create a seal between the tracheal wall and the tube.

This prevents air from leaking around the tube and helps position the tube in the airway.

Final Thoughts

There are two primary types of tracheostomy tubes: fenestrated and non-fenestrated. The difference between the two types of tubes is that a fenestrated tube has an opening in the side of the shaft, while a non-fenestrated does not.

This opening allows air to enter so that the patient can speak with the tube in place. If you want to learn more, we have a comprehensive guide on tracheostomy tubes that I think you’ll find helpful. Thanks for reading!

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