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CAPT. ROBERT L. KISTNER, USAF (MC); C. ROLLINS HANLON, M.D.

AMA Arch Surg. 1960;81(2):259-262.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Obstruction of the lower respiratory tract by retained bronchial secretions has become a frequent indication for tracheostomy during the past decade. Although tracheostomy initially permits effective clearing of the airway, it subsequently induces certain physiological disturbances which may lead to severe and even fatal complications. These physiological disturbances may be lessened by meticulous attention to details of tracheostomy care and by use of a new type of tracheostomy tube¹ designed to preserve the patient's ability to speak and to raise his own secretions by effective coughing. Early experience with this new tracheostomy tube in 17 patients forms the basis for this report.

Before presenting the case material, we should review the new tracheostomy tube and the rationale of its use in secretional obstruction. The tube is a short, straight cylinder of inert polyvinyl acetate rendered malleable for the sake of easy insertion along the tract of the tracheostomy (Fig. . . . [Full Text PDF of this Article]

Author Affiliations
St. Louis

From the Department of Surgery, St. Louis University.

Footnotes
Read at the 17th Annual Meeting of the Central Surgical Association, Chicago, Feb. 19, 1960.

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