Securing the Tracheostomy Tube

Many styles of tracheostomy tube holders are available in the marketplace.  Some familiar names are Posey and Dale however there may be others.  Tracheostomy tube holders all have the same function; keeping the tracheostomy tube secured in place.

Foam and Velcro Device

Securing devices that have foam neck straps and “hook and loop” tape (Velcro) are easy to understand and get right the first time.  They provide a comfortable way to secure the tracheostomy tube.  Generally these devices are changed daily or when badly soiled.

 Bead Chains

A longer term solution to securing the tracheostomy tube is a “bead chain” securing device.  These chains are sized to fit the individual.  These chains can be left in place for up to a week at a time without removing and cleaning.  Chains can be used for long term oxygen therapy and the use of transtracheal oxygen or can be used in place of twill tape or foam velcro devices.

Tips and Tricks

With either method of securing the tracheostomy tube two fingers below the tape or securing device should keep the tracheostomy tube properly secured.

Assure proper tightness:

Pro-tip:

Bend the corner strap to help you insert the strap into the tracheostomy flange.