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An intrapleural chest tube is also known as a Bülau drain or an intercostal catheter (ICC), and can either be a thin, flexible silicone tube (known as a "pigtail" drain), or a larger, semi-rigid, fenestrated plastic tube, which often involves a flutter valve or underwater seal.
A tracheostomy tube is another type of tracheal tube; this 50–75-millimetre-long (2.0–3.0 in) curved metal or plastic tube may be inserted into a tracheostomy stoma (following a tracheotomy) to maintain a patent lumen.
A tracheotome is a medical instrument used to perform an incision in the trachea with a cutting blade operated by a powered cannula. It is often called a tracheostomy tube because once it enters the stoma in the trachea, a breathing tube is connected to a ventilator and oxygen is provided to the lungs.
Cuffed tracheostomy tubes have inflatable balloons at the end of the tube to secure them in place. A tracheostomy tube may be fenestrated with one or several holes to let air through the larynx, allowing speech. [7] Special tracheostomy tube valves (such as the Passy-Muir valve [8]) have been created to assist people in their speech. The ...
Tracheostomy is the only surgical procedure that completely bypasses the upper airway. This procedure was commonly performed in the 1960-1980's for obstructive sleep apnea, until other procedures such as the uvulopalatopharyngoplasty , hyoid suspension , genioglossus advancement , and maxillomandibular advancement surgeries were described as ...
The cuffs are high-volume, low-pressure cuffs with inflating volume ranging from 10 ml (size 0) to 90 ml (size 5). A large bore syringe, which is marked with the required volume for each size, is used to inflate the cuffs. A cuff inflator can also be used, in which case the cuffs should be inflated to a pressure of 60 cm H2O.
The advantages of this method are: 1) the voice prosthesis stabilizes the TE wall, 2) the flanges of the device protect the puncture against leakage of fluids, stomach acids and other stomach contents, 3) there is no irritation or pressure from a stenting catheter, used to maintain the puncture opening until a voice prosthesis can be placed, 4 ...
Georg Detharding (1671–1747), professor of anatomy at the University of Rostock, treated a drowning victim with tracheostomy in 1714. [ 25 ] [ 26 ] [ 27 ] Fearful of complications, most surgeons delayed the potentially life-saving tracheotomy until a patient was moribund, despite the knowledge that irreversible organ damage would have already ...