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The Bivona tracheostomy tube manufactured by ICU Medical is commonly used in pediatric patients because the tube is made from a flexible silicone material which makes them easier to insert in pediatric patients.
Steps to clean a tracheostomy tube Place the dirty tracheostomy tube, obturator, and strap in a clean container. Add clean tap water and mild soap. Soak them for a few minutes to loosen any secretions. Clean the tube and other parts using pipe cleaners and gauze sponges.
Cleaning a Bivona Trach Tube Place trach tube, obturator, and wedge in clean container filled with hot water and standard dish soap. Allow parts to soak in soapy water for 60 minutes. Use cotton tip swab to thoroughly clean inside and outside of: Completely rinse trach tube, obturator, and wedge with hot water.
Disinfecting a Bivona Trach Tube Fill clean pot with water. Bring water to rolling boil on stove. Immediately place trach tube, obturator, and wedge into water. Cover pot with lid and allow water to cool. Wash work surface and cover with clean towel. Place all items on the clean towel and allow to air dry completely.
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 offer a customized service for those patients who require something other than the standard off the shelf tube.
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The Bivona trach may be cleaned with normal saline and boiled in sterile water. The directions for cleaning are in this handout. Bivona trach tubes may be cleaned, sanitized and reused 5 times for infants and children before replacing.
Mix equal parts of sterile water and peroxide. This is called half-strength peroxide. 2. Wash trach tube with warm tap water and a mild soap such as Ivory Liquid to clear the secretions, rinse the trach tube with warm tap water.

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