Difference between 22" and 27" stethoscope: Which is better?

[Rileycat]

I was looking at stethoscopes on-line, and some are offered in both 22" and 27" lengths. I have heard that the shorter the tube, the better the sound quality. Is there a big difference between a 22" and a 27" stethoscope as far as sound quality goes? I am slightly hard of hearing, so sound quality is a big issue with me, however, I don't need anything as extreme as an electronic stethoscope. I will be working in PICU, so I want a good quality scope. Any recommendations? Thanks!

[maikranz]

Of course, if you have absolutely too much cash on hand, you could go for the electronic Littman, for a cool $300 or so. Otherwise, hands-down, 22' Littman Cardiology III--do NOT let it out of your sight.

[Jay-Jay, RN]

I have a serious hearing loss, so the electronic Littmann was the best option for me. I don't remember what the tubing length was, I just know that when I tried to look at the wall mounted BP monitors, I had to twist my neck at an awkward angle because the tubing was so short! I ordered a longer tubing, and did not notice any effect on the sound quality. The scope uses one 675 button hearing aid battery, and in the 9 years I've had it, has never, ever needed a single repair, other than having the eartips replaced!

I have had nurses begging to borrow it when needing to hear a very faint BP, but I've never had a problem with it "growing legs!" Of course, now that I'm in community nursing, I don't have to worry nearly so much.

[imaRN]

Brandy, What do you mean a "Permanent Tag" I am interested : where did you get it, cost ,the whole nine yards- please...imaRN