Cuffed tubes allow positive pressure ventilation and prevent aspiration. If the cuff isn't necessary for those reasons, patients will use a cuffless tube Some patients with a cuffed tube will use minimal leak technique for cuff inflation which will still permit speaking and swallowing of secreations.
Tracheostomy Tubes
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Tracheostomy Tubes and Related Appliances
Tracheostomy and Speech ---great pics airway and trach devices
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