Anales españoles de pediatría
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Three cases of infants with strangulation of toes by either hair or threads are reported. The potential riks of amputation and the need for a premature diagnosis and treatment are stressed. A simple vertical, short and deep incision over the strangulation, avoiding injury to tendons and digital nerves and vessels is suggested. A complete recovery is obtained in a short period.
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It is described eight tracheostomised patients, advising an early and gradual tracheal decanulation using silver tracheostomy tube with a window in the posterior curvature (fenestrated tube, Alder Hey pattern) and proper sedation at the moment of definitive decanulation. Decanulation techniques and the mechanical and functional difficulties that can occur and how to avoid them are described: Finally the tracheostomy tubes that have been used are mentioned.