A tracheal tube assembly includes an outer cannula configured to be positioned in a patient airway and an inner cannula configured to be disposed inside the outer cannula. The tracheal tube assembly includes a removable neck flange bracket with trach tie adapter points secured about the outer cannula, and a connector coupled to a proximal end of the outer cannula. The connector can include a swivel design feature and a flexible tubing connector may be formed with the connecter. The connector is constructed and arranged to provide a view of the inner cannula, and the inner cannula and the connector form a contiguous passageway for exchanging fluid with the patient airway in operation.