Saunders Respiratory Practice

What is a benefit of using a fenestrated tracheostomy tube?

1. Prevents aspiration completely

2. Enables the client to speak

3. Allows for continuous suctioning

4. Inhibits airflow through the tube

The correct answer is: Enables the client to speak

Using a fenestrated tracheostomy tube provides the significant benefit of enabling the client to speak. Fenestrated tubes are designed with openings or "fenestrations" that allow air to flow through the vocal cords, which is essential for phonation. When the cuff of the tracheostomy tube is deflated, air can bypass the tube through the fenestrations into the upper airway, allowing the individual to produce sounds and communicate more effectively. This feature is particularly valuable for patients who are conscious and able to benefit from speaking while receiving respiratory support, improving their quality of life and social interactions. It's important to note that while other options suggest various functionalities, they do not align with the purpose of a fenestrated tracheostomy tube. Total prevention of aspiration or continuous suctioning is not guaranteed with this type of tube, and the tube does not inhibit airflow; rather, it enhances it by providing alternate pathways for airflow.