The Posey Trachy Tie is designed to help prevent removal, extubation, and decannulation during severe coughing spasms. It also helps secure tracheostomy tubes in place in the event of coughing spasms. It features adjustable sizing for a comfortable fit. If you have difficulty breathing and it is not relieved by your usual method of clearing secretions, Contact your healthcare provider or physician immediately. Check out more of Posey products only here at Independence Australia because when you shop with us, you help support and provide vital services to people living in the community with a disability or physical need.