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Bivona Inner cannulae helps to maintain hygiene of the airway. Maintaining hygiene and management of secretions can become difficult without an inner cannula as the removal and changing of the tracheostomy tube may be uncomfortable and traumatic for the patient.

Heat and moisture exchanger’s (HME) are used in mechanically ventilated and laryngectomy patients to heat and moisturize the air and help prevent complications that arise when patients lose the ability to breathe through their nose and upper airway.