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Canadian Journal of Anesthesia, Vol 11, 598-608, Copyright © 1964 by Canadian Anesthesiologists' Society

Observation on the Use of Cuffed Tracheostomy Tubes (with Particular Reference to the James Tube)

J A BAIN MD1 and W E SPOEREL MD, FRCP(C)1

1 Department of Anaesthesia, University of Western Ontario and Victoria Hospital, London, Ontario

Of the many modifications of the cuffted tracheostomy tube, introduced by Trendelenburg in 1869, the "James Tube" manufactured for Medidal and Industrial Equipment Company has been used frequently in our hospital in association with IPPB and for protection against aspiration The angle and the smooth curve of the tube facilitate adjustment to individual patients and suction

The length of the tube may present problems and we prefer an X-ray control of its position Minor adjustments are made by placing a foam rubber cushion under the connector

The pressure in the cuff necessary prevent an air leak related to the inspiratory pressure required in IP.PB Tracheal dilatation was found to be associated with the use of high inflation pressure and the volume of air used in the cuff as well as diameter of the cuff seen in the chest X-ray appears to be related to pulmonary complications

Note:

Manufactured for Medical and Industrial Equipment Limited

Presented at the Annual Meeting of the Canadian Anaesthetists' Society, Montebello, Quebec, May 11–14, 1964






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Copyright © 1964 by the Canadian Anesthesiologists' Society.