• Typically made up of three parts:
Outer Tube
  • A curved plastic tube with a proximal flange that is sutured or tied in position on the neck
  • Has a proximal 15 mm connection for a breathing system (some designs require inner tube to be places to connect to a standard 15mm circuit)
Inner Tube
  • A simple plastic sleeve that slides inside the outer tube
  • May easily be removed to allow cleaning or if plugged with secretions
  • Paediatric tubes are often of a single-cannula design (without an inner tube)
Obturator
  • A plastic insert with a bullet-shaped tip that protrudes from the tracheostomy tube
  • Used to facilitate tube insertion and must be removed in order to ventilate