Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Critical Care
Published in: Critical Care 2/2013

01-04-2013 | Letter

What size tube doctor? Bigger may be better - at least for weaning

Authors: David JP O'Callaghan, Duncan Wyncoll

Published in: Critical Care | Issue 2/2013

Login to get access

Excerpt

Recent experience has compelled us to write this letter as several patients, referred to our hospital and labelled slow-weaners, made rapid progress when upsized to a larger internal diameter (ID) tracheostomy. Accelerated weaning with larger ID tracheostomies is partially explained by physical principles. …
Literature
1.
Garzon AA, Seltzer B, Lichtenstein S, Karlson KE: Influence of tracheostomy cannula size on work of breathing. Ann Surg 1965, 162: 315-320. 10.1097/00000658-196508000-00024PubMedCentralCrossRefPubMed
2.
Hess DR: Tracheostomy tubes and related appliances. Respir Care 2005, 50: 497-510.PubMed
3.
Carter A, Fletcher SJ, Tuffin R: The effect of inner tube placement on resistance and work of breathing through tracheostomy tubes: a bench test. Anaesthesia 2013, 68: 276-282. 10.1111/anae.12094CrossRefPubMed
4.
Pierson DJ: Tracheostomy and weaning. Respir Care 2005, 50: 526-533.PubMed
5.
Terragni PP, Antonelli M, Fumagalli R, Faggiano C, Berardino M, Pallavicini FB, Miletto A, Mangione S, Sinardi AU, Pastorelli M, Vivaldi N, Pasetto A, Della Rocca G, Urbino R, Filippini C, Pagano E, Evangelista A, Ciccone G, Mascia L, Ranieri VM: Early vs late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients: a randomized controlled trial. JAMA 2010, 303: 1483-1489. 10.1001/jama.2010.447CrossRefPubMed
Metadata
Title
What size tube doctor? Bigger may be better - at least for weaning
Authors
David JP O'Callaghan
Duncan Wyncoll
Publication date
01-04-2013
Publisher
BioMed Central
Published in
Critical Care / Issue 2/2013
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc12545

Other articles of this Issue 2/2013

Critical Care 2/2013 Go to the issue

Research

Noninvasive ventilation immediately after extubation improves weaning outcome after acute respiratory failure: a randomized controlled trial

Research

Accuracy of blood-glucose measurements using glucose meters and arterial blood gas analyzers in critically ill adult patients: systematic review

Letter

The utility of the SOFA score for predicting mortality in critically ill cirrhotic patients receiving liver transplantation

Review

Clinical review: The role of the intensivist and the rapid response team in nosocomial end-of-life care

Review

Patient monitoring alarms in the ICU and in the operating room

Review

Clinical review: Predictive value of neutrophil gelatinase-associated lipocalin for acute kidney injury in intensive care patients