OBJECTIVE To determine the effects of different tracheotomy tube sizes on diaphragm effort and weanability indices. METHODS Ten tracheotomized and difficult to wean subjects were randomized to 2 T-piece trials, with different tracheotomy tube diameters: inner diameters 8 mm and 6.5 mm. Diaphragm pressure-time product per min. (PTP(di/min)), lung compliance and resistance (C(L) and R(L)), brea...

Since COVID-19 pandemic, extreme care must be taken to not only tracheotomy, but also subsequent tube management so that medical staff and other patients can protected from infectious aerosols the patient. Numerous studies have been reported worldwide on timing indications for tracheotomy in since 2019. In this paper, we describe issues considered during tracheostomy before after procedure with...

Tracheotomy is often successfully used to manage tracheal stenosis, as a temporizing measure prior to definitive treatment or a long-term remedy. In some patients, where a sizeable portion trachea is stenotic, the fixed arm of an ordinary tracheotomy tube may not be of sufficient length to satisfactorily maintain the distal tracheal lumen, and commercially available adjustable tubes may not be ...

OBJECTIVE To determine possible indications for tracheotomy in the burned child based on bronchoscopic and laryngoscopic findings. DESIGN AND SETTING A retrospective case study of all patients admitted to a tertiary children's burn center. PARTICIPANTS All children admitted with burn inhalation injury between 1990 and 1995 (n = 211). INTERVENTION All patients underwent laryngoscopy and br...

Pediatric patients for whom tracheotomy is a consideration have different anatomy, medical conditions, and prognoses than adults; even the tracheotomy tubes are different. Indications for pediatric tracheotomy generally include bypassing airway obstruction, providing access for prolonged mechanical ventilation, and facilitating tracheobronchial toilet. Subglottic stenosis is an important indica...

<p class="abstract">Tracheostomy is executed routinely for several indications. It a safe and life-saving procedure. In some cases, the tracheostomy tube has to be maintained long duration. We report rare case of aspiration fractured tube. light literature, we reported various factors leading complications tracheotomy. A 5-year-old boy, presenting emergency department accidentally during ...

BACKGROUND Complications associated with long-term tracheotomy are obstruction of the distal end of the tube by granulation tissue and tracheomalacia. These complications have traditionally been surgically treated. METHODS Prospective study in a chronic ventilator-dependent division, including 234 consecutive patients with tracheotomy and mechanical ventilation. Endoscopic evaluation was perf...

Inadvertent deflation of the endotracheal tube cuff during a tracheotomy can complicate the surgical procedure, especially in a morbidly obese patient. Also, the anesthesia provider may lose control of the airway, with the inability to reintubate in case of airway edema, airway secretions, or airway fire. The use of the GlideScope video laryngoscope (Verathon Inc, Bothell, Washington) in the mo...