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            <idno type="halRefHtml">&lt;i&gt;European Archives of Oto-Rhino-Laryngology&lt;/i&gt;, 2021, 279 (3), pp.1593-1599. &lt;a target="_blank" href="https://dx.doi.org/10.1007/s00405-021-07054-3"&gt;&amp;#x27E8;10.1007/s00405-021-07054-3&amp;#x27E9;&lt;/a&gt;</idno>
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                <title xml:lang="en">Bench testing of tracheostomy tube-related insults using an instrumented manikin</title>
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                    <forename type="first">Guillaume</forename>
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                <term xml:lang="en">Tracheal cannula</term>
                <term xml:lang="en">Pressure-induced injury</term>
                <term xml:lang="en">Tracheal injury</term>
                <term xml:lang="en">Tracheostomy</term>
                <term xml:lang="en">Tracheal tube</term>
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              <p>PurposeChoosing the right tracheal tube for the right patient is a daily preoccupation for intensivists and emergency physicians. Tracheal tubes can generate severe complications, which are chiefly due to the pressures applied by the tube to the trachea. We designed a bench study to assess the frequency of pressure levels likely to cause tracheal injury.MethodsWe tested the pressure applied on the trachea by 17 tube models of a given size range. To this end, we added a pressure sensor to the posterior tracheal wall of a standardized manikin.ResultsOnly 2 of the 17 tubes generated pressures under the threshold likely to induce tracheal injury (30 mmHg/3.99 kPa). The force exerted on the posterior wall of the trachea varied widely across tube models.ConclusionMost models of tracheal tubes resulted in forces applied to the trachea that are usually considered capable of causing tracheal tissue injury.Level of evidenceOxford Centre for Evidence-Based Medicine 2011 Levels of Evidence: How common is the problem?: step 1; Is this diagnostic or monitoring test accurate? (Diagnosis) step 5; What will happen if we do not add a therapy? (Prognosis) n/a; Does this intervention help? (Treatment Benefits) step 5; What are the COMMON harms?(Treatment Harms) step 5; What are the RARE harms? (Treatment Harms) step 5; Is this (early detection) test worthwhile? (Screening) step 5.</p>
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