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Old 02-07-2006, 09:43 AM
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I have not been affected by the shiley situation until yesterday when I received my supplies and got a bivona trach instead of shiley. From what I have read they seem like a different trach but when I opened the packaged it looked similar. What is the main difference between the bivona and shiley, are they different sizes????IS it safe to just pop in a bivona instead of the shiley??? I will of course contact our orl first before doing so...

I am still ahead on trach changes and have about 4 shileys here, I have been stocking up on them and ordering faithfully in case my dme fell short (which I am assuming is what happened) thanks to the information you guys have posted about the shiley's. I would have otherwise been totally in the dark.

christina
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LTR 03/22/2007
LTR 07/15/2008
decannulated, but uses CPAP while sleeping
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Old 02-07-2006, 09:56 AM
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I'm not sure about the actual size (length), but they should be on the packages. Good thing to check with your doc too. The only difference is that the neck flanges are V'ed and the material is like PVC in Shileys and it's silicone in Bivona's. That's what I know at least. I don't like the v'ed flanges for Donovan.
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Melisande H. Mother to The Preeminent Grand Poohba Donovan (5/27/03), still some "resolving" apnea, on the autism spectrum and some cerebellar malformations. Trached since he was 6 weeks old. Recently DECANNULATED 4/16/09!! Big brother to Conrad!

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Old 02-07-2006, 10:31 AM
J&Jsmomee J&Jsmomee is offline
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These are the differences I've noticed. First, the Bivonas seem more rubbery and bendy than the Shileys. Second, the flange is definitely more V shaped than straight across and lastly, the ENT told us that Sierra's 3.5 neo bivona is about 2 mm longer than the 3.5 Shiley that she had.
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Lisa- mom of John Patrick age 9 and formerly trached Joel age 4- DECANNULATED JANUARY 25, 2004!!!

Foster mom to Sierra born July 16, 2005- CHARGE syndrome, grade IV kidney reflux, severe hearing loss, trach & gtube for laryngeal cleft and chronic aspiration, gorgeous blue eyes
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Old 02-07-2006, 11:39 AM
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C-
The Bivonas are softer and more pliable. I would think they'd be more comfortble than the Shiley.
We just switched back over to Shiley as per doctors orders (we had Shiley for first year then Bivona for 2 years)...
About Shileys, they are MUCH cheaper, it's not recommended by Shiley to reuse them although it's often done with good results (but w/Bivona you can reuse according to package).
As Melisande said, the V is more prominent in the Shiley. I know you can get either the staright across flanges in Bivona or the V.
I believe the V is causing more pressure sores on the boys.

Does anyone know if Shiley makes a straight flange? (who knows if they're making anything at all!)

I really love the Bivona, but our ENT prefers Shileys for whatever reason, I still don't know. Maybe trying to save us $$.

Edited to say: I am surprised they sent you a Bivona w/out a script. Ask your ENT before you use it, they might want to put it in themselves)
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Kerry, mom to identical twins, Elijah & Milo, both trach dudes, 26-weekers as a result of Twin To Twin Transfusion Syndrome (2002).
Daughter, Maisie ('05) & Henry ('08). *BOTH decanned after LTP w/rib graft 4/10 & 7/10!* wooo hooooo!

The Birthday Boys by TwinTransfusion, on Flickr
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Old 02-07-2006, 11:59 AM
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I was confused to that they just sent the Bivona with no word from anyone. Max has a shiley right now. I checked on the package and the bivona 3.0 is 2mm longer and .2mm bigger on the outer diameter. So, seeing as Max is still on the small side I'm not sure if those measurments will make a difference or not...he has his bronch coming up in a month or so and I'm going to try and hold out switching til then, and that way maybe they can make the switch at that time and make sure he's ok.

Kerry- did the boys notice the difference with the bivonas vs. shiley?
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mom to Max born 01.19.05 @ 24wks

LTR 03/22/2007
LTR 07/15/2008
decannulated, but uses CPAP while sleeping
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Old 02-07-2006, 12:14 PM
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I started off with Shileys but with all the hoopla right now I have been switched to Bivona. I thought I would like the Bivona. Yes love the design and the flanges. But I did not like that Ericka can take them out easier. With the shiley's if it came out just a little bit I could push it back in. But with Bivona I have to get the obutator to put it back in. I am hoping that I will get Shiley back soon. I like Bivona but I feel I can not trust them. I want to be able to trust something that is to be helping my daughter and not hindering her breathing.
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Old 02-07-2006, 01:18 PM
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Christina- I don't think they've noticed the difference.
We used the Bivona Flex Tend. It's extends the trach far beyond the neck so it can't be occluded by the chin. Plus for vent kids, the trach will bend with the vent tubing so it won't tug, making it less rigid.
Now I do notice Elijah occluding his Shiley often. He can move his chin away from it fast so I know it won't plug him. Kids that are not mobile might occlude.

Let me find a pic.....
ok, when this pic was taken, Elijah had a very chubby neck (left). You can see how the Shiley would have been occluded:


Here's a pic of them on the vent, you can see the flexibility in the Bivona Flex Tend:
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Kerry, mom to identical twins, Elijah & Milo, both trach dudes, 26-weekers as a result of Twin To Twin Transfusion Syndrome (2002).
Daughter, Maisie ('05) & Henry ('08). *BOTH decanned after LTP w/rib graft 4/10 & 7/10!* wooo hooooo!

The Birthday Boys by TwinTransfusion, on Flickr
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Old 02-07-2006, 01:24 PM
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wow, they still have the same exact laughs! Can you even tell which one is Elijah on the bottom pic?


(on left again)
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Kerry, mom to identical twins, Elijah & Milo, both trach dudes, 26-weekers as a result of Twin To Twin Transfusion Syndrome (2002).
Daughter, Maisie ('05) & Henry ('08). *BOTH decanned after LTP w/rib graft 4/10 & 7/10!* wooo hooooo!

The Birthday Boys by TwinTransfusion, on Flickr
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Old 02-07-2006, 01:34 PM
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SO cute! So HAPPY!
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Milan - 10/01/04, 31 wk preemie due to maternal HELLP syndrome. Has challenges. DECANNED AUG 2006 and so far, so good with the nose breathing!
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Old 02-07-2006, 08:34 PM
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Kerry, your boys are either INCREDIBLY happy or you are incredibly lucky to always catch them smiling! they are just awesome! I love wqhen yiou post their photos. Deb
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24 weeker now almost 11 years old and in third grade!
trach-decanned for good in 2008, gtube, asthma, CP, MR, GERD, latex allergy, osteopenia, aplastic cerebellum, ADHD/OCD, 60 lbs of humor and fiest, 4'4" tall, patient at Shreveport Shriners Childrens Hospital,, and I may be leaving something out but she is happy and growing and the light of our lives! DECANNED 6-17-08
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