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Tracheotomy tube with suction port above cuff Portex Blue Line Ultra Suctionaid BLUS

last modified on: Mon, 06/05/2017 - 18:54

Tracheotomy tube with suction port above cuff Portex Blue Line Ultra Suctionaid (BLUS)

return to: Tracheotomy, Tracheostomy & Modifications

Tracheotomy - Tracheostomy

Video describing tracheotomy use is located below

Other 'suction-above-the-cuff" tracheotomy tubes are also available ("Blom tracheotomy tube with disposable suction-above-the-cuff inner cannula' (Rabach et al 2015)

blus portex setup  IMG_9138  IMG_9139  IMG_9141

IMG_9142  IMG_9143


As per Ledgerwood et al (2013): "'decreasing the load of oropharygneal secretions that enter the airway or the bacterial colonization of the airway effectively reduces the incidence of nosocomial pneumonia"


  1. Coffman H, Rees CJ, Sievers AEF and Belafsky PC: Proximal suction tracheotomy tube reduces aspiration volume  Otolaryngology-- Head and Neck Surgery (2008) 138, 441-445
  2. Ledgerwood LG, Salgado MD, Black H, Yoneda K, Sievers A, Belafsky PC: Tracheotomy Tubes With Suction Above the Cuff Reduce the Rate of Ventilator-Associated Pneumonia in Intensive Care Unit Patients. Annals of Otology, Rhinology & Laryngology 122(1):3-8
  3. Rabach L, Siegel MD, Puchalski JT, Towle D, Follert M, Johnson KM, Rademaker AW, Leder SB: Use of the Blom Tracheotomy Tube with Suction Inner Cannula to Decontaminate Microorganisms from the Subglottic Space. A Proof of Concept. Ann Am Thorac Soc. 2015 Jun:12(6):859-63