- Reinforced tube that allows the length of the tube to be adjusted:
- Altered through a locking mechanism located at the flange
- Allows variable length to be left within the trachea
- Can be used to account for individual patient factors such as obesity or a neck mass
- NCEPOD report suggested should be used in around 30% of intensive care admissions, based on BMI
- Care must be taken to secure the flange to the tube to ensure that it does not move
- If accidentally opened can lead to displacement of the tube
