Shiley Decannulation Plug is to be used with Fenestrated Cuffed Tracheostomy Tubes (Code 4FEN), Reusable Cannula Cuffless Fenestrated Tracheostomy Tubes (Code 4CFN). It closes proximal end of tracheostomy tube to permit breathing through fenestration and upper airway.

What is the purpose of Decannulation?

The process whereby a tracheostomy tube is removed once patient no longer needs it. Indication: When the initial indication for a tracheostomy no longer exists.

When should you Decannulate?

Decannulation may be performed when the patient can tolerate plugging of the tracheostomy tube overnight while asleep without oxygen desaturation. After the tube is removed, the skin edges are taped shut, the patient is encouraged to occlude the defect while speaking or coughing. The wound should heal within 5-7 days.