Choice of Tracheostomy Tube: Does One Size Fit All?
Tracheostomy is performed on intensive care unit (ICU) patients to facilitate weaning and pulmonary toilet and to provide airway protection. The introduction of percutaneous techniques has led to the procedure being performed with increasing frequency. Much has been made of methods to improve safety during the procedure yet little attention is paid to the ongoing complications of the presence of tracheostomy tubes in the airway. Inappropriate tube choice can lead to short term complications such as local erosion and cutaneous infection and long term complications such as tracheal stenosis, tracheomalacia, and vascular and esophageal fistulation, and can also contribute to problems such as tube displacement.
KeywordsTracheostomy Tube Tracheal Stenosis Tracheal Ring Percutaneous Tracheostomy Tracheal Wall
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