A new tracheostomy unit and its evolutional rationale

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ESSENTIALLY, the maintenance of an adequate airway before, during, and after a surgical operation is vital. If continuity of the patient’s air-way is lost at some critical stage, the consequences might well be fatal. For this reason, tracheostomy is performed to insure patency of the airway in selected cases. However, tracheostomy itself might well be a hazardous procedure due, in many instances, to poor design and construction of the tracheostomy tubes currently available.

The new tracheostomy set that we are reporting has been designed to avoid unnecessary complications due to annoying and dangerous deficiencies in design and structure of the available tracheostomy tubes. Standardization of connectors makes it possible for the patient to pass from the preoperative situation, through anesthesia and surgery, into the postoperative phase with-out prolonged interference with the integrity of his airway.

Our particular model is a modification of a tube manufactured by the Dittmar and Penn Corporation. The tube has been modified according to clinical needs in our intensive care and recovery units, as well as in the private patients’ rooms, and it now meets most of the requirements of what we consider the ideal tracheostomy tube. These criteria include: ease of cleaning and of sterilization; composition and construction to assure air-tight connections at reasonable positive pressure; a thin wall to permit maxi-mal diameter of lumen; a smooth inner surface to offer minimal resistance to passage of suction catheters; light in weight for the comfort of the patient; adjustable to the size of the patient; capable . . .



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