Tracheostomy Adapters for Patients With Severe Respiratory Paralysis Who Depend on Intermittent Positive-Pressure Respiration

Laryngotracheal obstruction complicating tracheostomy or endotracheal intubation with assisted respiration. A critical review.

“…Movements caused by alterations of position of the neck and body of the patient can be reduced by suitable suspension of the connecting tubing from an adjustable arm (Stiles, 1965a), magnetized connexions to the tracheostomy tube (Agerholm and Salt, 1965;Hunter, 1967), and suitable fixation of the tracheostomy tube to the patient (Watts, 1963;Matheson, Gardiner, Low, and Dudley, 1963 ;Stiles, 1965a;Marshall, 1969). The tapes must be tied in knots at the back of the neck with the neck in the neutral position.…”

Respiratory Units: Intermittent Positive Pressure Respiration: Tracheostomy [Abridged]

“…The Nosworthy-type mouth of the tube gives plenty of room for suction, and makes a firm union with the corresponding connexion piece. A useful modification suggested by Agerholm & Salt (1965) may be the magnetization of the tube side of the union to give further security against accidental detachment without affecting the simplicity of removal for suction purposes.…”