There are several tracheostomy tube types that can be used by patients who present to the emergency department with temporary or long-term artificial airways. While specific knowledge of each type may not be required, it is important for the emergency physician to be aware of their general structure and the complications that can arise from them. Modern tracheostomy tubes tend to be made of plastic, but some older tubes—such as the silver Negus—can be made of metal. These tubes are particularly popular with older long-term tracheostomy patients. However, due to their cost and relative scarcity, these tubes tend to be used …