Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_4597_Библиотеки_им_академика_М_И_Перельмана.pdf
X
- •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

Tracheostomies
132
Tracheostomy Diameters (Adult)
4.1
Luer
Size ID OD Length
00 2.4 4.5 33
0 2.9 5.0 34
1 3.0 5.5 35
2 3.3 6.0 36
3 4.4 7.0 37
4 5.3 8.0 39
5 6.1 9.0 42
6 7.1 10.0 42
7 8.1 11.0 42
8 9.1 12.0 42
9 10.1 13.0 42
10 11.2 14.0 42
Martin
Size ID OD Length
(Continued)
6 7.1 10.0 69
7 8.1 11.0 69
8 9.1 12.0 69
8 9.1 12.0 56
Mayo Clinic
Size ID OD Length
3 4.3 7.0 33
4 5.3 8.0 33, 40, 58
5 6.2 9.0 56, 69
6 7.2 10.0 56, 69, 85
7 8.3 11.0 56, 69, 85
8 9.2 12.0 56, 69, 85
9 9.9 13.0 56, 69
10 10.6 14.0 56, 69
12 12.7 16.4 56, 69

Chapter 4 Fitting and Changing a Tracheostomy Tube
Holinger (Silver)
Size ID OD Length
000 2.1 4.1 26, 27, 30, 33, 40, 46
00 2.4 4.5 24, 25, 26, 27, 30, 33, 40, 46
0 2.9 5.0 25, 27, 30, 33, 40, 46
1 3.0 5.5 33, 40, 46
2 3.3 6.0 33, 40, 46, 50
3 4.4 7.0 33, 40, 50, 55, 60
4 5.3 8.0 40, 50, 55, 60
5 6.4 9.0 50, 63, 68
6 7.4 10.0 63, 68, 73
7 8.3 11.0 68
8 9.2 12.0 78
Talking Tracheostomy Tubes
Portex Blue Line Trach Talk
Size ID OD Length
7 7.0 9.7 75
8 8.0 11.0 82
9 9.0 12.4 87
133
Bivona Fome-Cuff With Talk Attachment
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 Mid-Range Aire-Cuf With Talk Attachment
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
Blom System
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
134
Tracheostomy Diameters (Adult)
4.1
TRACOE Twist With Air Supply Line
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
ID = inner diameter; OD = outer diameter. Length = neck flange to tip.
All measurements expressed in millimeters.
(Continued)
Laryngectomy Diameters
4.2
Air-Lon Laryngectomy (also Inhalation Set)
Size ID OD Length
8 10.0 12.0 63
10 12.0 14.0 63
Bivona Laryngectomy
Size ID OD Length
9.5 9.5 12.0 55
9.5 9.5 12.0 85
11 11.0 14.0 55
11 11.0 14.0 105
13 13.0 16.0 55
13 13.0 16.0 85
Holinger Laryngectomy
Size ID OD Length
7 9.0 12.0 50
8 10.0 13.6 50
9 10.6 14.0 50
10 11.2 14.3 50

Chapter 4 Fitting and Changing a Tracheostomy Tube
Jackson Laryngectomy
Size ID OD Length
00 2.4 4.5 33
0 2.8 5.0 38
1 3.0 5.5 44
2 3.4 6.0 51
Martin Laryngectomy (Regular or With Dressing Extension)
Size ID OD Length
8 9.0 12.0 42
10 11.0 14.0 42
12 12.7 16.3 42
Portex DIC Laryngectomy
Size Color ID OD Length
8 white 8.0 11.3 50
9 blue 9.0 12.6 50
10 yellow 10.0 14.0 50
135
Provox LaryTube (Standard)
Size ID OD Length
8 / 27 9.5 12.0 27
8 / 36 9.5 12.0 36
8 / 55 9.5 12.0 55
9 / 27 10.5 13.5 27
9 / 36 10.5 13.5 36
9 / 55 10.5 13.5 55
10 / 27 12.0 15.0 27
10 / 36 12.0 15.0 36
10 / 55 12.0 15.0 55
12 / 27 13.5 17.0 27
12 / 36 13.5 17.0 36
12 / 55 13.5 17.0 55
Provox LaryTube Fenestrated
Size ID OD Length
8 / 36 9.5 12.0 36
8 / 55 9.5 12.0 55
9 / 36 10.5 13.5 36
9 / 55 10.5 13.5 55
10 / 36 12.0 15.0 36
10 / 55 12.0 15.0 55
12 / 36 13.5 17.0 36
12 / 55 13.5 17.0 55
(continued)

Tracheostomies
136
Laryngectomy Diameters
4.2
Provox LaryTube With Ring
Size ID OD Length
8 / 36 9.5 12.0 36
8 / 55 9.5 12.0 55
9 / 36 10.5 13.5 36
9 / 55 10.5 13.5 55
10 / 36 12.0 15.0 36
10 / 55 12.0 15.0 55
12 / 36 13.5 17.0 36
12 / 55 13.5 17.0 55
Shiley Laryngectomy (LGT)
Size ID OD Length
6 6.4 11.1 50
8 7.0 12.6 50
10 8.9 13.7 50
(Continued)
Singer Laryngectomy (SLT)
Size ID OD Length
8 x 18 9.5 12.0 18
8 x 27 9.5 12.0 27
8 x 36 9.5 12.0 36
8 x 55 9.5 12.0 55
9 x 18 10.5 13.5 18
9 x 27 10.5 13.5 27
9 x 36 10.5 13.5 36
9 x 55 10.5 13.5 55
10 x 18 12.0 15.0 18
10 x 27 12.0 15.0 27
10 x 36 12.0 15.0 36
10 x 55 12.0 15.0 55
11 x 18 13.0 16.0 18
11 x 27 13.0 16.0 27
11 x 36 13.0 16.0 36
11 x 55 13.0 16.0 55
12 x 18 13.5 17.0 18
12 x 27 13.5 17.0 27
12 x 36 13.5 17.0 36
12 x 55 13.5 17.0 55
14 x 18 16.5 20.0 18
14 x 27 16.5 20.0 27
14 x 36 16.5 20.0 36
14 x 55 16.5 20.0 55
16 x 18 20.5 24.0 18
16 x 27 20.5 24.0 27
16 x 36 20.5 24.0 36
16 x 55 20.5 24.0 55

Chapter 4 Fitting and Changing a Tracheostomy Tube
TRACOE Twist Laryngecomy
Size ID OD Length
5 5.0 9.0 47
6 6.0 9.4 50
7 7.0 10.6 52
8 8.0 11.6 55
9 9.0 12.8 57
10 10.0 14.2 60
TRACOE Comfort Laryngectomy
Size ID OD Length
7 7.0 10.5 50
8 8.0 11.3 53
9 9.0 12.6 57
10 10.0 13.7 60
11 11.0 15.0 63
12 12.0 16.2 66
ID = inner diameter; OD = outer diameter. Length = neck flange to tip.
All measurements expressed in millimeters.
137
Tracheostomy Diameters
4.3
Arcadia Neonatal & Pediatric Tracheostomy Tubes
Arcadia CTS Pediatric
Size ID OD Length
2.5 2.5 4.0 38
3.0 3.0 4.7 39
3.5 3.5 5.3 40
4.0 4.0 6.0 41
4.5 4.5 6.7 42
5.0 5.0 7.3 44
5.5 5.5 8.0 46
Arcadia CTS Neonatal
Size ID OD Length
2.5 2.5 4.0 30
3.0 3.0 4.7 32
3.5 3.5 5.3 34
4.0 4.0 6.0 36
(Neonatal and Pediatric)
(continued)

Tracheostomies
138
Tracheostomy Diameters
(Neonatal and Pediatric)
4.3
Arcadia Cuffless Pediatric
(Standard V-Neck or Perfect Fit)
Size ID OD Length
2.5 2.5 4.0 38
3.0 3.0 4.7 39
3.5 3.5 5.3 40
4.0 4.0 6.0 41
4.5 4.5 6.7 42
5.0 5.0 7.3 44
5.5 5.5 8.0 46
Arcadia Cuffless Neonatal
(Standard V-Neck or Perfect Fit)
Size ID OD Length
(Continued)
2.5 2.5 4.0 30
3.0 3.0 4.7 32
3.5 3.5 5.3 34
4.0 4.0 6.0 36
Arcadia Cuffless Extended Connect Pediatric
(Standard V-Neck or Perfect Fit)
Proximal
Size ID OD
2.5 2.5 4.0 20 38
3.0 3.0 4.7 20 39
3.5 3.5 5.3 25 40
4.0 4.0 6.0 25 41
4.5 4.5 6.7 30 42
5.0 5.0 7.3 30 44
5.5 5.5 8.0 30 46
Arcadia Extended Connect Neonatal
(Standard V-Neck or Perfect Fit)
Size ID OD
2.5 2.5 4.0 15 30
3.0 3.0 4.7 17 32
3.5 3.5 5.3 20 34
4.0 4.0 6.0 22 36
Length
Proximal
Length
Distal
Length
Distal
Length

Chapter 4 Fitting and Changing a Tracheostomy Tube
Bivona Neonatal & Pediatric Tracheostomy Tubes
Bivona Aire-Cuf Neonatal
Size ID OD Length
2.5 2.5 4.0 30
3.0 3.0 4.7 32
3.5 3.5 5.3 34
4.0 4.0 6.0 36
Bivona Aire-Cuf Pediatric
Size ID OD Length
2.5 2.5 4.0 38
3.0 3.0 4.7 39
3.5 3.5 5.3 40
4.0 4.0 6.0 41
4.5 4.5 6.7 42
5.0 5.0 7.3 44
5.5 5.5 8.0 46
Bivona Fome-Cuf Neonatal
139
Size ID OD Length
2.5 2.5 4.0 30
3.0 3.0 4.7 32
3.5 3.5 5.3 34
4.0 4.0 6.0 36
Bivona Fome-Cuf Pediatric
Size ID OD Length
2.5 2.5 4.0 38
3.0 3.0 4.7 39
3.5 3.5 5.3 40
4.0 4.0 6.0 41
4.5 4.5 6.7 42
5.0 5.0 7.3 44
5.5 5.5 8.0 46
Bivona Hyperflex, Adjustable Neck (Uncuffed)
Size ID OD Length
2.5 2.5 4.0 55
3.0 3.0 4.7 60
3.5 3.5 5.3 65
4.0 4.0 6.0 70
4.5 4.5 6.7 75
5.0 5.0 7.3 80
5.5 5.5 8.0 85
(continued)

Tracheostomies
140
Tracheostomy Diameters
(Neonatal and Pediatric)
4.3
Bivona TTS Cuffed Neonatal
Size ID OD Length
2.5 2.5 4.0 30
3.0 3.0 4.7 32
3.5 3.5 5.3 34
4.0 4.0 6.0 36
Bivona TTS Cuffed Pediatric
Size ID OD Length
2.5 2.5 4.0 38
3.0 3.0 4.7 39
3.5 3.5 5.3 40
4.0 4.0 6.0 41
4.5 4.5 6.7 42
5.0 5.0 7.3 44
5.5 5.5 8.0 46
(Continued)
Bivona Uncuffed Neonatal
Size ID OD Length
2.5 2.5 4.0 30
3.0 3.0 4.7 32
3.5 3.5 5.3 34
4.0 4.0 6.0 36
Bivona Uncuffed Pediatric
Size ID OD Length
2.5 2.5 4.0 38
3.0 3.0 4.7 39
3.5 3.5 5.3 40
4.0 4.0 6.0 41
4.5 4.5 6.7 42
5.0 5.0 7.3 44
5.5 5.5 8.0 46
Bivona Uncuffed Neonatal FlexTend Plus
Proximal
Size ID OD
2.5 2.5 4.0 15 39
3.0 3.0 4.7 17 32
3.5 3.5 5.3 20 34
4.0 4.0 6.0 22 36
Length
Distal
Length

Chapter 4 Fitting and Changing a Tracheostomy Tube
Bivona Uncuffed Pediatric FlexTend Plus Extra Length
141
Proximal
Size ID OD
3.5 3.5 5.3 38 40
4.0 4.0 6.0 40 44
4.5 4.5 6.7 43 48
5.0 5.0 7.3 45 50
5.5 5.5 8.0 48 52
Length
Length
Portex Neonatal & Pediatric Tracheostomy Tubes
Portex FlexTend Plus Neonatal
Proximal
Size ID OD
2.5 2.5 4.0 30 15
3.0 3.0 4.7 32 17
3.5 3.5 5.3 34 20
4.0 4.0 6.0 36 22
Length
Length
Portex FlexTend Plus Standard Pediatric
Proximal
Size ID OD
2.5 2.5 4.0 38 20
3.0 3.0 4.7 39 20
3.5 3.5 5.3 40 25
4.0 4.0 6.0 41 25
4.5 4.5 6.7 42 30
5.0 5.0 7.3 44 30
5.5 5.5 8.0 46 30
Length
Length
Distal
Distal
Distal
Portex FlexTend Plus Pediatric
Proximal
Size ID OD
3.5 3.5 5.3 40 38
4.0 4.0 6.0 44 40
4.5 4.5 6.7 48 43
5.0 5.0 7.3 50 45
5.5 5.5 8.0 52 48
Length
Distal
Length
Shiley Neonatal & Pediatric Tracheostomy Tubes
Shiley Cuffed Pediatric (PDC)
Size ID OD Length
4.0 4.0 5.9 41
4.5 4.5 6.5 42
5.0 5.0 7.1 44
5.5 5.5 7.7 46
(continued)
Соседние файлы в папке Библиотека им академика М.И. Перельмана
