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The Annals of Thoracic Surgery, Vol 24, 49-53, Copyright © 1977 by The Society of Thoracic Surgeons
F Khan and NC Reddy
A prospective study to radiographically document impending tracheal damage
in patients on continuous mechanical ventilation was done in 135 intubated
adult patients over an eighteen month period. The previously unrecognized
enlarging cuff/trachea ratio over 150% was seen in 18 patients. Five of 9
patients who died with C/T ratio over 150% were autopsied; all had severe
tracheal damage at the cuff site. Four of 5 patients who were
decannulated/extubated developed tracheal stenosis at the cuff site,
necessitating tracheal resection in 3 patients. Thus a C/T ratio over 150%
is a reliable clinical indicator of tracheal damage. Some thoughts as to
prevention of this iatrogenic disease are presented.
ARTICLES
Enlarging intratracheal tube cuff diameter: a quantitative roentgenographic study of its value in the early prediction of serious tracheal damage
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