• J Clin Anesth · Mar 1992

    Case Reports

    Mechanical ventilation of a patient with decreased lung compliance and tracheal dilatation.

    • J M Jaeger, N C Wells, R R Kirby, and P B Blanch.
    • Department of Anesthesiology, University of Florida College of Medicine, Gainesville.
    • J Clin Anesth. 1992 Mar 1; 4 (2): 147-52.

    AbstractTracheal injury resulting from tracheal intubation is common. Injuries vary in type and severity, from mucosal sloughing to tracheal stenosis and fistula formation. We report a patient with poor lung compliance and massive tracheal dilatation as a result of prolonged mechanical ventilation with high inflation pressure despite the use of a high-volume, low-pressure cuff. To reduce the tracheal dilatation but maintain adequate ventilation and continuous positive airway pressure, we substituted a longer double-cuff tracheotomy appliance and used an automatic intermittent cuff inflator. The problems related to the design of modern tracheal tube cuffs are discussed.

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