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Wiley InterScience | ||||||||
  Acta Anaesthesiologica ScandinavicaVolume 25 Issue 5, Pages 407 - 411 Published Online: 30 Dec 2008 Journal compilation © 2010 The Acta Anaesthesiologica Scandinavica Foundation Official Publication of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine
Abstract | References | Full Text: PDF (Size: 784K) | Related Articles | Citation Tracking  A New Tracheostomy Tube III. Bronchofiberoptic Examination of the Trachea After Prolonged Intubation with the NL Tracheostomy Tube Copyright 1981 Acta Anaesthesiologica Scandinavica Fonden ABSTRACTRecent publications show that severe damage to the trachea is still a problem with high-volume, low-pressure cuffs. The NL tracheostomy tube was used in 85 patients for 3 days to 2 months (mean 16 days). This tube has a high-volume, low-pressure cuff with automatic regulation of the cuff pressure at 3kPa. The tube has a flexible tip. Fiberoptic examination at extubation showed minimal damage to the tracheal mucosa: 33 patients had normal mucosa and the rest had hyperaemia and/or fibrin formation. Four patients had ulcerations from suction catheters and four patients had small, superficial ulcerations produced by the tip of the lube. Of these last four patients, three had skin flaps that exerted pressure on the tube. Severe tracheal damage was prevented due to the combination of automatic regulation of cuff pressure and a flexible tip of the tube. Received 7 January, 1981 accepted for publication 17 April 1981 | 
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