Should Bivona TTS cuffs be filled with normal saline/sterile water/air?

Should Bivona TTS cuffs be filled with normal saline/sterile water/air?

  • All Bivona TTS cuffed tracheostomy tubes should be inflated with sterile water as air will diffuse through the silicone cuff.

    We recommend inflating the cuff with 10ml of sterile water in adult TTS tubes and 5ml of sterile water in neonatal / paediatric TTS tubes.

    If the cuff does not inflate completely, we recommend squeezing the pilot balloon whilst gently manipulating the cuff from the shaft. Cuff volume should be monitored and adjusted routinely.

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