We change Molly's trach once a month. She has used a Portex cuffed for years. They recently discontinued the neck plate style. We are now having problems finding a trach that will work for her. The new style portex caused a sore on her stoma and granulation tissue. We have tried Rusch, Shiley, Portex, Bivona. We are looking into custom made ones now. I wish they would have notified us that they were discontinuing them, we would have stocked up. When it comes to site problems, I think it makes a big difference if the trach has a good fit or not. We use an inline suction(Ballard), it stays connected to her trach all the time. It reduced her infections to almost none.


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