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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_4597_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Contents
- •Contributors
- •Preface
- •Acknowledgments
- •The Upper Airway
- •The Lower Airway
- •Indications for Tracheotomy
- •Timing of Tracheotomy
- •Preoperative Management
- •Anesthesia Management
- •Comparative Anatomy of the Adult and Infant Airways
- •Conclusion
- •Key Points
- •Surgical Technique
- •Postoperative Care
- •Summary
- •Key Points
- •Parts of a Tracheostomy Tube
- •General Types of Tracheostomy Tubes
- •Special Use Tracheostomy Tubes
- •Tracheostomy Accessories and Appliances
- •Summary
- •Key Points
- •Considerations When Fitting a Tracheostomy Tube
- •Tracheostomy Tube Changes
- •Fitting a Tracheostomy Button
- •Summary
- •Key Points
- •The Critically Ill Patient on Mechanical Ventilation
- •Retained Secretions
- •Cuff Leaks
- •Pistoning
- •Cuff Changes at Altitude
- •Cuff Changes With Anesthesia
- •The Complex Tracheostomy Wound
- •Tracheostomy as a Lived Experience
- •Defective Tracheostomy Tubes
- •Missing Parts
- •Summary
- •Key Points
- •General Principles of Voice Restoration
- •Patients Who Do Not Require Mechanical Ventilation
- •Patients Who Require Intermittent Positive-Pressure Ventilation
- •Patients Who Require Continuous Mechanical Ventilation
- •Summary
- •Key Points
- •Maintenance of the Tracheostomy Tube
- •Mobilization of Secretions
- •Oral Care
- •Other Tracheal Appliances
- •Nutrition
- •Care of the Patient at Home
- •Summary
- •Key Points
- •Indications for Tracheostomy in Children
- •Outcome of Children With Tracheostomies
- •Procedural Steps in the Care of the Child With a Tracheostomy
- •Management of the Child With a Tracheostomy in the Community
- •Developmental Issues
- •Summary
- •Key Points
- •Types of Laryngectomy
- •Swallowing After Laryngectomy
- •Speech After Laryngectomy
- •Ventilator-Dependent Tracheostomized Patients
- •Quality of Life
- •Summary
- •Key Points
- •Intraoperative Complications
- •Early Postoperative Complications
- •Late Postoperative Complications
- •Summary
- •Key Points
- •Factors to Consider Prior to Decannulation
- •Determining Readiness for Decannulation
- •Decannulation Protocol
- •After Decannulation
- •Summary
- •Key Points
- •Discharge Disposition of Patients With Tracheostomies
- •Tracheostomy in Acute Rehabilitation
- •Adapting Choice of Tracheostomy Tube and Care Plans to Clinical Settings
- •Providing Phonation for Patients Who Require Positive-Pressure Ventilation
- •Evaluating the Need for Relief of Upper Airway Obstruction
- •Considerations for Transitioning Tracheostomy Tubes
- •Discharge to Home
- •Care for Patients at Home
- •Clinical Follow-Up
- •Summary
- •Key Points
- •Index

Tracheostomy Diameters (Adult)
4.1
Air-Lon Tracheostomy Tube
Air-Lon (also Inhalation Set)
Size ID OD Length
3 4.0 7.0 70
4 5.0 8.0 76
5 7.0 9.0 83
6 8.0 10.0 89
7 9.0 11.0 95
8 10.0 12.0 102
Arcadia Tracheostomy Tubes
Arcadia Silicone Cuffless
Size ID OD Length
6 6.0 9.0 51
7 7.0 10.4 67
8 8.0 11.5 78
9 9.0 12.7 91
9.5 9.5 13.9 95
Arcadia Silicone Air Cuff
Size ID OD Length
6 6.0 9.0 51
7 7.0 10.4 67
8 8.0 11.5 78
9 9.0 12.7 91
9.5 9.5 13.9 95
Arcadia Silicone Foam Cuff
Size ID OD Length
6 6.0 9.0 51
7 7.0 10.4 67
8 8.0 11.5 78
9 9.0 12.7 91
10 10.0 13.9 95
Arcadia Silicone Air Cuff Adjustable Neck
Size ID OD Length
6 6.0 8.7 110
7 7.0 10.0 120
8 8.0 11.0 130
9 9.0 12.3 140

Chapter 4 Fitting and Changing a Tracheostomy Tube
Arcadia Silicone Cuff (CTS)
Size ID OD Length
5 5.0 7.3 60
6 6.0 8.7 70
6.5 6.5 9.4 70
7.0 7.0 10.0 80
7.5 7.5 10.4 80
8.0 8.0 11.0 88
8.5 8.5 11.8 88
9.0 9.0 12.3 98
9.5 9.5 13.3 98
Bivona Tracheostomy Tubes
Bivona Fome-Cuff
Size ID OD Length
5 5.0 7.3 60
6 6.0 8.7 70
7 7.0 10.0 80
8 8.0 11.0 88
9 9.0 12.3 98
9.5 9.5 13.3 98
123
Bivona Hyperflex—Adjustable Neck (Aire-Cuf, TTS Cuff)
Size ID OD Length
6 6.0 8.7 110
7 7.0 10.0 120
8 8.0 11.0 130
9 9.0 12.3 140
Bivona Hyperflex—Fixed Neck (Aire-Cuf, Cuffless)
Size ID OD Length
6 6.0 8.7 100
7 7.0 10.0 110
8 8.0 11.0 120
9 9.0 12.3 130
Bivona Hyperflex—Fixed Neck (TTS Cuff)
Size ID OD Length
6 6.0 8.7 70
7 7.0 10.0 80
8 8.0 11.0 88
9 9.0 12.3 98
(continued)

Tracheostomies
124
Tracheostomy Diameters (Adult)
4.1
Bivona Mid-Range Aire-Cuf
Size ID OD Length
5 5.0 7.3 60
6 6.0 8.7 70
7 7.0 10.0 80
8 8.0 11.0 88
9 9.0 12.3 98
9.5 9.5 13.3 98
Bivona Uncuffed
Size ID OD Length
5 5.0 7.3 60
6 6.0 8.7 70
7 7.0 10.0 80
8 8.0 11.0 88
9 9.0 12.3 98
9.5 9.5 13.3 98
(Continued)
Bivona TTS
Size ID OD Length
5 5.0 7.3 60
6 6.0 8.7 70
6.5 6.5 9.4 70
7 7.0 10.0 80
7.5 7.5 10.4 80
8 8.0 11.0 88
8.5 8.5 11.8 88
9 9.0 12.3 98
9.5 9.5 13.3 98
Bivona Sleep Apnea
Size ID OD Length
6 6.0 9.0 68
6.5 6.5 10.0 73
7.5 7.5 11.0 79
Moore Tracheostomy Tube
Moore
Size ID OD Length
6 6.5 11 115
8 7.5 12 115

Chapter 4 Fitting and Changing a Tracheostomy Tube
Portex Tracheostomy Tubes
Portex DIC (Cuffed and Uncuffed)
Size Color ID OD Length
6 orange 6.0 8.5 64
7 green 7.0 9.9 70
8 white 8.0 11.3 73
9 blue 9.0 12.6 79
10 yellow 10.0 14.0 79
Portex Flex DIC (Cuffed and Uncuffed)
Size Color ID OD Length
6 orange 6.0 8.2 64
7 green 7.0 9.6 70
8 white 8.0 10.9 73
9 blue 9.0 12.3 79
10 yellow 10.0 13.7 79
Portex Fenestrated DIC (Cuffed and Uncuffed)
Size Color ID OD Length
125
6 orange 6.0 8.5 64
7 green 7.0 9.9 70
8 white 8.0 11.3 73
9 blue 9.0 12.6 79
10 yellow 10.0 14.0 79
Portex Blue Line (Cuffed and Uncuffed)
Size ID OD Length
6 6.0 8.3 55
7 7.0 9.7 65
8 8.0 11.0 76
9 9.0 12.4 87
10 10.0 13.8 98
Portex Blue Line Fenestrated (Cuffed)
Size ID OD Length
7 7.0 9.7 65
8 8.0 11.0 76
9 9.0 12.4 87
(continued)

Tracheostomies
126
Tracheostomy Diameters (Adult)
4.1
Portex Blue Line, Extra Horizontal
Length (Cuffed and Uncuffed)
Size ID OD
6 6.0 8.3 23 11–31
7 7.0 9.6 26 16–36
8 8.0 11.0 35 17–37
9 9.0 12.4 38 22–42
10 10.0 13.8 41 26–46
Portex Per-Fit
Size ID OD Length
7 7.0 9.6 82
8 8.0 10.9 86
9 9.0 12.3 93
(Continued)
Vertical
Length
Adjustable
Horizontal
Length
Portex Blue Line, Extra Vertical Length (Double Cuff)
Size ID OD Length
7 7.0 9.7 83
8 8.0 11.0 93
9 9.0 12.4 103
10 10.0 13.8 113
Portex Corrugated Inner Cannula for
Standard Blue Line Trachs
ID To Fit Size
5.0 7
6.0 8
7.0 9
Portex Blue Line Ultra (Cuffed and Uncuffed)
Size ID OD Length
6 6.0 9.2 64.5
7 7.0 10.5 70.0
8 8.0 11.9 75.5
9 9.0 13.3 81.0
10 10.0 14.0 87.5

Chapter 4 Fitting and Changing a Tracheostomy Tube
Portex Blue Line Ultra Fenestrated (Cuffed and Uncuffed)
Size ID OD Length
6 6.0 9.2 64.5
7 7.0 10.5 70.0
8 8.0 11.9 75.5
9 9.0 13.3 81.0
10 10.0 14.0 87.5
Portex Blue Line Ultra Suctionaid
Size ID OD Length
6 6.0 9.2 64.5
7 7.0 10.5 70.0
7.5 7.5 11.3 73.0
8 8.0 11.9 75.5
8.5 8.5 12.6 78.0
9 9.0 13.3 81.0
Portex Corrugated Inner Cannulas
for Blue Line Ultra Trachs
127
ID To Fit Size
5.0 6
6.0 7
7.0 8
8.0 9
Portex Lo-Profile (Cuffed and Uncuffed,
Fenestrated and Nonfenestrated)
Size ID OD Length
6 6.0 8.5 67
7 7.0 9.9 71
8 8.0 11.3 75
9 9.0 12.6 83
10 10.0 14.0 83
Shiley Tracheostomy Tubes
Shiley Cuffed (DCT)
Size ID OD Length
4 5.0 9.4 62
6 6.4 10.8 74
8 7.6 12.2 79
10 8.9 13.8 79
(continued)

Tracheostomies
128
Tracheostomy Diameters (Adult)
4.1
Shiley Cuffless (CFS)
Size ID OD Length
4 5.0 9.4 65
6 6.4 10.8 76
8 7.6 12.2 81
10 8.9 13.8 81
Shiley Low-Pressure Cuffed (LPC)
Size ID OD Length
4 5.0 9.4 65
6 6.4 10.8 76
8 7.6 12.2 81
10 8.9 13.8 81
Shiley Disposable Cuffless (DCFS)
(Continued)
Size ID OD Length
4 5.0 9.4 62
6 6.4 10.8 74
8 7.6 12.2 79
10 8.9 13.8 79
Shiley Fenestrated Cuffed (FEN)
Size ID OD Length
4 5.0 9.4 65
6 6.4 10.8 76
8 7.6 12.2 81
10 8.9 13.8 81
Shiley Disposable Cuffed Fenestrated (DFEN)
Size ID OD Length
4 5.0 9.4 62
6 6.4 10.8 74
8 7.6 12.2 79
10 8.9 13.8 79
Shiley Cuffless Fenestrated (CFN)
Size ID OD Length
4 5.0 9.4 65
6 6.4 10.8 76
8 7.6 12.2 81
10 8.9 13.8 81

Shiley Disposable Cuffless Fenestrated (DCFN)
Size ID OD Length
4 5.0 9.4 62
6 6.4 10.8 74
8 7.6 12.2 79
10 8.9 13.8 79
Shiley XLT* (Extra Length, Dual-Cannula)
Size ID OD Length
5 5.0 9.6 90
6 6.0 11.0 95
7 7.0 12.3 100
8 8.0 13.3 105
*Extra length can be either distal or proximal. Comes in cuffed and cuffless.
Shiley Single-Cannula (SCT)
Size ID OD Length
5 5.0 7.0 58
6 6.0 8.3 67
7 7.0 9.6 80
8 8.0 10.9 89
9 9.0 12.1 99
10 10.0 13.3 105
Shiley Percutaneous (PERC)
Size ID OD Length
6 6.4 10.8 74
8 7.6 12.2 79
Shiley Disposable Inner Cannulas (DIC)
Size For Use With
4 4 DCT 4 DFEN 4 DCFN 4 DCFS
6 6 DCT 6 DFEN 6 DCFN 6 DCFS 6 PERC
8 8 DCT 8 DFEN 8 DCFN 8 DCFS 8 PERC
10 10 DCT 10 DFEN 10 DCFS 10 DCFS
TRACOE Tracheostomy Tubes
TRACOE Twist (Cuffed or Cuffless)
Size ID OD Length
4 4.0 7.2 56
5 5.0 8.6 66
6 6.0 9.2 72
7 7.0 10.4 74
8 8.0 11.4 76
9 9.0 12.5 78
10 10.0 13.8 80
(continued)

Tracheostomies
130
Tracheostomy Diameters (Adult)
4.1
TRACOE Comfort
Size ID OD Length
3 3.5 6.4 46
4 4.0 7.3 55
5 5.0 8.7 57
6 6.0 10.0 60
7 7.0 10.5 65
8 8.0 11.3 70
9 9.0 12.6 75
10 10.0 13.7 85
11 11.0 15.0 87
12 12.0 16.2 90
13 13.0 17.2 100
14 14.0 18.2 105
TRACOE Vario
Size ID OD Length
(Continued)
6 6.0 8.2 70
7 7.0 9.7 80
8 8.0 11.2 90
9 9.0 12.3 100
10 10.0 13.7 110
11 11.0 14.8 110
TRACOE Comfort Extra Long
Size ID OD Length
5 5.0 9.0 92
6 6.0 9.8 95
7 7.0 10.5 100
8 8.0 12.2 105
9 9.0 13.0 110
10 10.0 14.5 115
11 11.0 15.5 120
12 12.0 16.4 125
13 13.0 18.0 130
14 14.0 18.2 135

Chapter 4 Fitting and Changing a Tracheostomy Tube
Metal Tracheostomy Tubes
Jackson Original (Stainless Steel or Silver,
Regular or Short Length)
Size ID OD Length
00 2.4 4.5 33
0 2.8 5.0 36, 38
1 3.0 5.5 44, 51
2 3.4 6.0 48, 58
3 4.3 7.0 48, 58
4 5.3 8.0 52, 62
5 6.2 9.0 56, 68
6 7.2 10.0 56, 69
7 8.3 11.0 56, 69
8 9.2 12.0 56, 69
9 9.9 13.0 56, 69
10 10.6 14.0 56, 69
11 12.3 15.3 56, 69
12 12.7 16.3 56, 69
Jackson Extra Long (Stainless Steel)
131
Size ID OD Length
5 6.2 9.0 72
6 7.2 10.0 72
7 8.3 11.0 72
8 9.2 12.0 72
9 9.9 13.0 72
Tucker (Silver)
Size ID OD Length
00 2.4 4.5 31
0 2.9 5.0 36
1 3.0 5.5 48
2 3.3 6.0 50
3 4.4 7.0 53
4 5.3 8.0 55
5 6.1 9.0 60
6 7.1 10.0 60
7 8.1 11.0 60
8 9.1 12.0 60
9 10.1 13.0 60
10 11.2 14.0 60
(continued)
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