A tracheostomy tube apparatus and method includes an outer tube with a first end and a second end and an inside and an outside. Dual inflatable balloons are connected in spiral relation with the outside of the second end of the outer tube. An outer suction tube with more than one outer suction port is connected with the outer tube such that the more than one outer suction port captures secretions from the outside of the outer tube. An inner tube, conformed to fit within the outer tube, is provided. The inner tube has a first end and a second end and an inner suction tube with more than one inner suction port is connected with the inner tube such that the more than one inner suction port captures secretions from the inside of the inner tube.
