Scott from Colorado writes to ask:
I was wondering what size Shiley you recommend for stocking a difficult airway cart. Most surgical airway descriptions, such as Ron Walls’ book, recommend a no. 4 tracheostomy tube. However, to employ the bougie technique Dr Braude demonstrates, need a no. 6 Shiley.
According to SunMed their adult bougie will accomodate size 6-11 Shiley and their ped bougie will take size 4-6. I have played with them and fit an adult bougie through a no. 4 Shiley without too much difficulty.
We stock about a dozen 6.0 mm Portex trachs. I like the portex b/c they will work even if you drop the inner cannula on the floor. The are super easy to slip over an adult-size bougie, and most important–they are cuffed.