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Updated: Jul 15, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
Choosing a paediatric tracheostomy tube: an update on current practice
D J Tweedie1, C J Skilbeck, L A Cochrane
1Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK. dtweedie@doctors.org.uk
Objectives:
A variety of paediatric tracheostomy tubes are available. This article reviews those in current use at Great Ormond Street Hospital.
Methods:
We outline our preferences and the particular indications for the different tubes, speaking valves and other attachments.
Results:
Practice has changed significantly in recent years. One product has been re-sized by its manufacturer; others are no longer commonly used. An updated sizing chart is included for reference purposes, together with manufacturers' contact details.
Conclusions:
The choice of paediatric tracheostomy tube is driven by clinical requirements. A small range of tubes are suitable for the majority of children, but some will require other varieties in specific circumstances.
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