Adult Tracheostomy Tubes Selection Guide Does patient have abnormal neck or tracheal anatomy? Is patient at risk of aspiration or do they require mechanical ventilation? Is patient at risk of aspirating subglottic secretions? Continue to monitor progress Does patient require intermittent ventilation? Is patient ready to be weened from mechanical ventilation? PATIENT MEETS INDICATIONS FOR TRACHEOSTOMY START Adjustable Flange Tracheostomy – UniPerc ® and Bivona ® Hyperflex ™ BLUselect ® Uncuffed Fenestrated BLUselect ® Suctionaid ® BLUselect ® Cuffed Fenestrated Bivona ® TTS ™ (Tight to Shaft) BLUselect ® Cuffed Bivona ® Mid Range Aire-Cuf ® Bivona ® Cuffless Bivona ® Fixed Flange Hyperflex ™ Bivona ® Custom Lab YES YES YES YES YES NO NO NO NO NO NO
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Adult Tracheostomy Tubes
Selection Guide
Does patient have abnormal neck or tracheal anatomy?
Is patient at risk of aspiration or do they require
mechanical ventilation?
Is patient at risk of aspirating
subglottic secretions?
Continue to monitor progress
Does patient require
intermittent ventilation?
Is patient ready to be weened
from mechanical ventilation?
PATIENT MEETS INDICATIONS FOR TRACHEOSTOMY
START Adjustable FlangeTracheostomy – UniPerc®
and Bivona® Hyperflex™
BLUselect® Uncuffed Fenestrated
BLUselect® Suctionaid®
BLUselect® Cuffed Fenestrated
Bivona® TTS™
(Tight to Shaft)
BLUselect® CuffedBivona® Mid RangeAire-Cuf®
Bivona® Cuffless
Bivona® Fixed FlangeHyperflex™ Bivona® Custom Lab
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
Neonatal and Pediatric Tracheostomy Tubes
Selection Guide
Bivona® Adjustable Hyperflex™
PATIENT MEETS INDICATIONS FOR TRACHEOSTOMY
START
Does patient have abnormal tracheal anatomy or does patient require a cuffed non-wire
reinforced silicone tracheostomy tube
for MRI?
Does patient require
mechanical ventilation?
Can patient be adequately ventilated
with an uncuffed tracheostomy tube?
Does patient have minimal chin to stoma distance?
Cost Effective Temporary MRI
Tracheostomy Tube to supplement
the Bivona® wire reinforced
tracheostomy tubes
Can patient be managed with Minimal Leak
Technique or is patient being intermittently
mechanically ventilated periodically?
Does patient have minimal chin to stoma distance?
Does patient require elevated PEEP or increased airway
pressures?
Bivona® Custom Lab
Bivona® FlexTend™
Bivona® Uncuffed
Bivona® Fome-Cuf®
Bivona® Aire-Cuf®
Bivona® Tight-to-Shaft (TTS™) Cuff
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA AND OTHER COUNTRIES
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