What is the difference between the Shiley 6 XLTCP (extra‑long tapered cuff with removable inner cannula) and the Shiley 6 pXLT (plain extra‑long tapered cuff tube without an inner cannula)? | Rounds What is the difference between the Shiley 6 XLTCP (extra‑long tapered cuff with removable inner cannula) and the Shiley 6 pXLT (plain extra‑long tapered cuff tube without an inner cannula)? | Rounds
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What is the difference between the Shiley 6 XLTCP (extra‑long tapered cuff with removable inner cannula) and the Shiley 6 pXLT (plain extra‑long tapered cuff tube without an inner cannula)?

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Last updated: July 14, 2026 · View editorial policy

Shiley 6 XLTCP vs Shiley 6 pXLT Tracheostomy Tube Components

Shiley™ 6 XLTCP is an extra-long, cuffed, proximal-extension Shiley™ XLT tube that is supplied as a double-cannula system with a disposable inner cannula that can be removed for cleaning or replacement. [1]

Shiley™ 6 pXLT is an extra-long, cuffed Shiley™ XLT tube that is supplied without an inner cannula, meaning the tube does not function as a removable inner-cannula system. [n/a]

Key Practical Difference

  • XLTCP (removable inner cannula): secretions can be managed by removing the inner cannula and replacing it with a clean one while the outer cannula remains in place. [1]
  • pXLT (no inner cannula): secretions management relies on the outer-cannula lumen because no inner cannula is present to remove or swap. [n/a]

Core Design/Management Implication

  • The presence of the disposable inner cannula in XLTCP changes routine airway-care workflow compared with pXLT, which requires care directed to the single (outer) cannula lumen. [1]

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