Tracheostomy Tube Management for BLS Providers

The tracheostomy tube
High volume and low pressure cuffs: Inflatable cuffs tend to be high-volume and low pressure, in order to minimize pressure on the trachea. Complications of high cuff to trachea pressure include: 
  • Tracheomalacia: Flaccidity of the tracheal cartilage; “Floppy” trachea 
  • Tracheal stenosis: A narrowing of the trachea 
  • Tracheoesophageal fistula: An abnormal passageway connecting one or more places between the esophagus and the trachea 
  • Granuloma: Areas of inflammation; raised, red bumps 
  • Tracheitis: Infection and inflammation of the trachea 
  • Erosion of the innominate artery 
  • Hemorrhage, inflammation, ulceration and dilation. (1)