13. Do I have to have a fenestrated tracheostomy tube?

The PMV can be used with fenestrated tracheostomy tubes, although a fenestrated tube is NOT required. If you are using a fenestrated tube, it is important to ensure that the inner cannula is fenestrated in order to take advantage of the fenestrate. For any type of tracheostomy tube it is important to ensure that the cuff is completely deflated and sized appropriately so that the patient can sufficiently exhale around the tube. The clinician should never attempt to use a PMV on a fenestrated trach tube while the cuff is inflated.

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