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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.
Tracheostomy tubes can be cuffed or uncuffed. Uncuffed tubes allow airway clearance but provide no protection from aspiration. Cuffed tracheostomy tubes allow secretion clearance and offer some protection from aspiration, and positive-pressure ventilation can be more effectively applied when the cuff is inflated.
Device Description. The Bivona Tracheostomy Tubes are sterile, single patient use, silicone tracheostomy tubes. They come in a variety of configurations for adults, pediatric and neonatal patients. They come cuffed (TTS, Aire-Cuf or Fome-Cuf) or cuffless. The tubes may be wire reinforced or plain silicone.
Shiley is plastic compared to silicon (more rubbery) Bivona. Flanges are different between Shiley and Bivona. Shiley you can usually just push back in if they come out. Bivona you have to get the obdurator to put it back in.
THE INNER CANNULA Insert into the tracheostomy tube. You should feel a slight snap indication correct positioning. Change every 2-4 hours, or more frequently if necessary: -Remove the inner cannula and then insert the spare. The inner cannulae last 28days before discarding Rinse cleaning swab with water to clean.
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The Bivona Tracheostomy Tubes are sterile, single patient use, silicone tracheostomy tubes. They come in a variety of configurations for adults, pediatric and neonatal patients. They come cuffed (TTS, Aire-Cuf or Fome-Cuf) or cuffless.
Bivona Adult TTS Tracheostomy Tubes are made of soft, flexible silicone. The Adult TTS Trach Tube benefits patients requiring cuff inflation for managed, controlled leaks. This Trach Tube provides protection from potential aspiration during feeding or for short periods of total tracheal seal.
THE INNER CANNULA Insert into the tracheostomy tube. You should feel a slight snap indication correct positioning. Change every 2-4 hours, or more frequently if necessary: -Remove the inner cannula and then insert the spare. The inner cannulae last 28days before discarding Rinse cleaning swab with water to clean.

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