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Endotracheal Tube, Cuffed

TTUF Tracheostomy Tube Uncuffed With Fenestra


The TTUF tracheostomy tube is a new type of tube that has a fenestra, or opening, on the end. This allows for better ventilation and less risk of infection.

  • Used for patients who have difficulty to use a speaking valve.
Ref. No.: Size: Qty. Cs:
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NMR100838 6.5 100
NMR100843 7.0 100

TTUF Tracheostomy Tube Uncuffed With Fenestra

The TTUF tracheostomy tube is a new type of tube that has a fenestra, or opening, on the end. This allows for better ventilation and less risk of infection.

What is the TTUF Tracheostomy Tube Uncuffed With Fenestra?

The TTUF Tracheostomy Tube Uncuffed With Fenestra is a tracheostomy tube that is designed for people who have had a tracheostomy. The tube has a fenestra, which is a small opening in the side of the tube that allows air to pass through. The fenestra is covered with a thin layer of silicone, which helps to keep the airway open and prevents the tube from becoming blocked. The TTUF Tracheostomy Tube Uncuffed With Fenestra is available in different sizes, so it can be used for people of all ages.

The Different Types of TTUF Tubes

There are many different types of TTUF tubes, but they all have one thing in common: they have a fenestra, or small opening, at the end. This opening allows for drainage of secretions and helps to keep the airway clear. The most common type of TTUF tube is the Shiley tube, which is made by Covidien. Other manufacturers include Smiths Medical and Teleflex.

The Shiley tube has a number of different sizes, ranging from 4.0mm to 10.0mm. The smallest diameter tube is usually used for infants and children, while the larger diameters are reserved for adults. The length of the tube also varies, depending on the size of the patient's neck.

The Smiths Medical TTUF tube is similar to the Shiley tube, but it has a slightly different shape. It is also available in a variety of sizes and lengths.

The Teleflex TTUF tube is the newest type of TTUF tube on the market. It is made from a flexible material that conforms to the contours of the patient's neck and throat. This makes it more comfortable to wear and less likely to cause irritation. It is available in sizes ranging

Pros and Cons of a TTUF Tube

When it comes to tracheostomy tubes, there are a variety of options available. One option is the TTUF tube, which stands for tracheostomy tube uncuffed with fenestra. This type of tube is designed to be used without a cuff, and it has a small opening (fenestra) near the tip that allows air to escape.

There are both pros and cons to using a TTUF tube. Some of the pros include:

-No need for a cuff, which can save on costs
-The fenestra helps to reduce the risk of aspiration
-May be more comfortable for the patient than other types of tracheostomy tubes

However, there are also some potential drawbacks to using a TTUF tube. These include:

-The fenestra can make it more difficult to suction secretions
-There is a greater risk of dislodgement due to the lack of a cuff
-Some patients may find the tube less comfortable than other types

What are the indications for use of a TTUF Tube?

There are several indications for use of a TTUF Tube. First, it may be indicated when patients need long-term ventilation and cannot be easily weaned off of the ventilator. Second, it may be indicated in patients with very high airway pressures who are at risk for developing tracheal damage. Third, it may be indicated in patients who have had previous tracheostomies that have failed or become blocked. Finally, it may be indicated in patients who have had surgery on their upper airway that has resulted in scarring or narrowing of the airway.

How to insert a TTUF Tube

A TTUF tube is a tracheostomy tube that is uncuffed and has a fenestra. This type of tube is typically used for patients who have had a tracheostomy for an extended period of time.

Inserting a TTUF tube can be done in a few simple steps:

1. Clean the patient's skin around the stoma site with an antiseptic solution.

2. Insert the tube into the stoma, making sure that the fenestra is facing downwards.

3. Once the tube is in place, secure it with tape or a tracheostomy collar.

4. Connect the tube to a suction device and ensure that it is functioning properly.

How to care for a TTUF Tube

If you or your child has a tracheostomy tube (TTUF) with a fenestra, it is important to know how to properly care for the device. Here are some tips on caring for your TTUF:

-Clean the fenestra and surrounding skin daily with soap and water. Be sure to rinse all soap off the skin.
-Gently clean the inside of the fenestra with a cotton swab soaked in saline solution.
-Apply a thin layer of petroleum jelly around the fenestra to help keep the skin moisturized.
-Check the fenestra regularly for any signs of infection, such as redness, swelling, or discharge.

If you have any questions about caring for your TTUF, be sure to talk to your child's doctor or nurse.


The TTUF tracheostomy tube is a great option for those who need a tube that is uncuffed and has a fenestra. This type of tube is perfect for those who have difficulty speaking or swallowing, as it will allow them to do so more easily. If you or someone you know needs a tracheostomy tube, be sure to ask your doctor about the TTUF.

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TTUF Tracheostomy With Fenestra

Tracheostomies are increasingly common, particularly in long-term skilled nursing facilities and intensive care units, which means all medical providers must master tracheostomy secretion management. Tracheostomy reduces cough strength, lowers subglottic pressure, and weakens sensations in the pharynx and larynx. This causes secretions to accumulate in the airway, although the volume and thickness of the secretions vary significantly from patient to patient. TTUF Tracheostomy With Fenestra, Medical professionals, first responders, and patients with tracheostomies must learn how to manage secretions to improve patient comfort and reduce the risk of infection, aspiration, and other complications. TTUF Tracheostomy Tube Uncuffed With Fenestra

Tracheostomy Secretions 101: Understanding the Problem 

Secretions are a natural reaction to tracheostomy, not a sign of a problem. A trach tube bypasses the upper airway, which normally cleans and moistens the air. This causes the body to produce more secretions. When tracheostomy cuffs are kept inflated for a prolonged period, these secretions can pool in the airway. This increases the risk of a number of health issues, including:
  • Aspiration
  • Breathing difficulties
  • Breathing in contaminated secretions
  • Pneumonia
  • Discomfort
Many patients with tracheostomies already have other health issues, such as chronic obstructive pulmonary disease (COPD), a history of severe airway infections, prior airway trauma, or difficulty withdrawing from a mechanical ventilator. This makes them especially vulnerable to infections related to poorly managed secretions. New: Ultimate Guide To Purchasing A Portable Emergency Suction Device

When to Suction Tracheostomy Patients 

Suctioning can greatly reduce the risk of tracheostomy-related complications. However, suctioning does present some risks, which makes it important to avoid over suctioning patients. Most healthcare providers recommend suctioning the tracheostomy twice a day, though recommendations are evolving. To reduce the risk of suctioning complications, a patient having trouble managing tracheostomy secretions should first try to clear their own airway by:
  • Bending forward and coughing.
  • Squirting sterile saline fluid into their trach tube and then attempting to cough again.
  • Take a hot bath or shower.
  • Placing warm gauze over the trach tube.
  If the patient cannot breathe, shows signs of aspiration, or cannot follow instructions, do not waste time trying to get them to clear their own airway. When a patient cannot clear their own airway, proceed with suctioning.

Strategies for Suctioning Tracheostomy Secretions 

Before suctioning a tracheostomy, thoroughly wash your hands and wear gloves to reduce the risk of transmitting pathogens to the patient. Change gloves and rewash hands after touching the patient or their secretions and before touching the suctioning machine or another patient. These tracheostomy suctioning guidelines can help reduce the risks to the patient:
  • Suction only when the patient shows indications for suctioning.
  • Use the lowest effective suctioning pressure.
  • Suction for no longer than 15 seconds, using continuous instead of intermittent suctioning.
  • Hyperoxygenate the patient before and after suctioning.
  • Avoid the use of saline lavages.
  • Use a suction catheter that is less than half of the diameter of the endotracheal tube.
  • Use only new or fully sterilized equipment, diligently following the manufacturer's instructions.
After preparing the patient for suctioning, sterilizing the equipment, and applying gloves, these techniques ensure effective tracheostomy secretion management:
  • Insert the catheter into the tracheostomy opening before applying suctioning.
  • Remove and rotate the catheter slowly and evenly, continuing to apply suction.
  • Clean the catheter between passes by inserting it into distilled water and pulling small quantities of water into the catheter.
  • Allow the patient to rest for 30 seconds between suctioning passes.
  • Monitor the patient’s vital signs before and after suctioning. Look for signs of distress during suctioning, and terminate the procedure at the first sign of distress.
  • Immediately dispose of disposable equipment, and sterilize reusable equipment. Do not store dirty equipment to wash later.
The right equipment is critical to ensuring that tracheostomy patients receive prompt, effective care. Transporting patients can be difficult, and may not be necessary. Portable emergency suction reduces treatment delays and allows your agency to treat patients wherever they are. However, it’s important not to forgo effective treatment for conventional treatment. The right emergency suction devices deliver both. For help selecting the appropriate machine for your agency, download our free guide, The Ultimate Guide to Purchasing a Portable Emergency Suction Device. *Editor's Note: This blog was originally published in July of 2020. It has since been updated with current content.