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Shiley 45PED Pediatric Tracheostomy Tube 4.5 Sold By:Box of 1 An antifungal barrier cream thatMallinckrodt Medical Inc Shiley Pediatric Tracheostomy Tube 4 1 2 Size 42mm L, 4 1 2mm I. D. x 6 1 2mm O. D., Made of a Soft Flange Material All neonatal and pediatric tracheostomy tubes are made of a soft, flange material and have a recessed area behind the connector to provide greater comfort Neonatal tubes feature a lower flange angle to improve fit Long pediatric tubes offer a longer cannula to fit larger pediatric patients Each neonatal and