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Do tapered tracheostomy cuffs improve translaryngeal gas flow when compared to barrel cuffed fenestrated tubes: A laboratory study

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The benefits of tracheostomy are well documented and include improved comfort and a reduction in sedative requirements that may facilitate more rapid ventilation weaning. A stable airway established with tracheostomy… Click to show full abstract

The benefits of tracheostomy are well documented and include improved comfort and a reduction in sedative requirements that may facilitate more rapid ventilation weaning. A stable airway established with tracheostomy allows pulmonary toilet that may help in addressing aspiration. It is postulated that it may also increase translargyngeal airflow and allow phonation. We hypothesized that taper‐shaped cuffed tracheostomy tubes have less bulk upon cuff deflation, and on this basis, gas flow past the deflated tapered cuff is better than non‐tapered barrel cuffs and equal to gas flow in equivalent‐sized fenestrated versions.

Keywords: gas; tapered tracheostomy; gas flow; cuffed; tracheostomy cuffs

Journal Title: Laryngoscope Investigative Otolaryngology
Year Published: 2022

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