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Increased Safety in Tracheotomy Tube Replacement

Increased Safety in Tracheotomy Tube Replacement Abstract There are occasional problems in the removal of a tracheotomy tube and its replacement. Excellent textbook accounts1,2 describe the surgical procedure itself. Instruments exist for ensuring safety and maintenance of the tracheotomy tract, eg, the two-pronged or the three-pronged dilator. Apparently, only oral tradition transmits the risks, technique, and occasional rare tragedy that results from the collapse of the trachea during replacement. If supraglottic or glottic obstruction is still present, there remains a serious challenge to respiration. The following describes method and available instrumental help for continued guarantee of the airway without loss of a single breath (Figs 1 through 6). A polyethylene tubing section of appropriate diameter cut from a nasogastric tube is adequate for all adult sizes. It is cut twice the length of the tracheotomy tube residing in the trachea. Technique.—The inner tracheal cannula is removed. This is replaced by the nasogastric tube segment, which References 1. Lore JM Jr: An Atlas of Head and Neck Surgery . Philadelphia, WB Saunders Co, 1973, p 691. 2. Montgomery WW: Surgery of the Upper Respiratory System . Philadelphia, Lea & Febiger, 1973, pp 336-337. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Increased Safety in Tracheotomy Tube Replacement

Archives of Otolaryngology , Volume 108 (5) – May 1, 1982

Increased Safety in Tracheotomy Tube Replacement

Abstract

Abstract There are occasional problems in the removal of a tracheotomy tube and its replacement. Excellent textbook accounts1,2 describe the surgical procedure itself. Instruments exist for ensuring safety and maintenance of the tracheotomy tract, eg, the two-pronged or the three-pronged dilator. Apparently, only oral tradition transmits the risks, technique, and occasional rare tragedy that results from the collapse of the trachea during replacement. If supraglottic or glottic obstruction is...
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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1982.00790530063016
Publisher site
See Article on Publisher Site

Abstract

Abstract There are occasional problems in the removal of a tracheotomy tube and its replacement. Excellent textbook accounts1,2 describe the surgical procedure itself. Instruments exist for ensuring safety and maintenance of the tracheotomy tract, eg, the two-pronged or the three-pronged dilator. Apparently, only oral tradition transmits the risks, technique, and occasional rare tragedy that results from the collapse of the trachea during replacement. If supraglottic or glottic obstruction is still present, there remains a serious challenge to respiration. The following describes method and available instrumental help for continued guarantee of the airway without loss of a single breath (Figs 1 through 6). A polyethylene tubing section of appropriate diameter cut from a nasogastric tube is adequate for all adult sizes. It is cut twice the length of the tracheotomy tube residing in the trachea. Technique.—The inner tracheal cannula is removed. This is replaced by the nasogastric tube segment, which References 1. Lore JM Jr: An Atlas of Head and Neck Surgery . Philadelphia, WB Saunders Co, 1973, p 691. 2. Montgomery WW: Surgery of the Upper Respiratory System . Philadelphia, Lea & Febiger, 1973, pp 336-337.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: May 1, 1982

References

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