Soft & Flexible
Tracoe Silcosoft
A child’s anatomical structures are highly sensitive and at risk of damage from manipulation and pressure. A child’s trachea is relatively narrow and very soft and therefore, small changes can have a big impact. A flexible, kink-resistant but soft tube is gentle on the tracheal mucosa and the stoma itself.6
The Tracoe Silcosoft tracheostomy tube is a soft, flexible silicone tube for neonates, infants and children. They are offered in both a water-filled cuffed and cuffless variations and with or without proximal extension.
1. Slightly curved neck flange with specially reinforced eyelets
2. Spiral reinforced tube, radiopaque (allows to check position)
3. The cuff is close and tight to the tube in deflated state
The tubes are available in neonatal length (30-36 mm) in sizes from 2.5 mm to 4.0 mm (inner diameter) for neonates and infants, and in pediatric length (38–46 mm) in sizes 2.5 mm to 5.5 mm for children and young people.
Spiral Reinforced
The Tracoe Silcosoft tracheostomy tube has a spiral reinforcement embedded in the tube wall. The spiral is made from nitinol and therefore all Silcosoft tubes are MR conditional. The tight spiral winding ensures it retains its shape. The spiral winding ends before the end of the tube, which enables a soft tip.
Tracoe Water-Filled (H2O) Cuff
A cuff serves as a seal to minimize the passage of aspirated food, saliva and/or gastric contents into the lower respiratory tract as well as optimize pressures during ventilation.31 The Tracoe H2O cuff must be filled with sterile water. Filling with other liquids, for example, saline or glucose may result in damage to the cuff.25 When the cuff is deflated, it is close and tight to the tracheostomy tube. The cuff inflation line is integrated into the material of the tube wall, which minimizes the risk of potential trauma or damage to the vulnerable pediatric airway mucosa.6,7,32
Silcosoft cuff management
Specially Reinforced Eyelets
Tracoe Silcosoft has a slightly curved neck flange with specially reinforced eyelets. These reinforced eyelets aid confidence particularly when used with hook-and-loop fastener neckbands. An additional feature includes inlets on the underside of the eyelets that allow the neckband to be recessed.
Length Variants
As a child or young individual undergoes growth and development, the dimensions of a tracheostomy tube, including its length and diameter, adapt. Therefore, also several length variants are available.
The Obturators
The standard length Tracoe Silcosoft tubes include a practical ring-shaped obturator. The ring-shaped grip allows intuitive handling of the obturator for the tube insertion which is particularly useful in smaller tube sizes.
The Tracoe Silcosoft proximally longer tubes and length variants include a metal obturator that is easily identifiable by the orange cap with clear marking for orientation.
Color Coding
Standard and proximal longer tubes are identified by blue printing on the neck flange with length and diameter variances. Length variants are identified with green printed information.
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References
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2 Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018 Apr;11(2):175-191.
3 Watters K. Tracheostomy in infants and children. Pediatric tracheostomy. Respiratory Care. 2017; Vol. 62(6):803.
4 Fuller C, Wineland AM, Richter GT. Update on pediatric tracheostomy: indications, technique, education, and decannulation. Current Otorhinolaryngology Reports. 2021; 9:188-199.
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30 Nelson Laboratories. Viral Filtration Efficiency (VFE) GLP Report. Salt Lake City, USA. Available on request from Atos Medical.
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32 RP1, Myers C, Rutter MJ, et al. Prevention of tracheostomy-related pressure ulcers in children. Pediatrics. 2012; 129(3):e792-7.
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