Young J S, Brady W J, Kesser B, Mullins D
Department of Surgery, University of Virginia Health Sciences Center, Charlottesville 22903, USA.
J Emerg Med. 1996 Mar-Apr;14(2):205-8. doi: 10.1016/0736-4679(95)02092-6.
Unscheduled replacement of dislodged tracheostomy tubes can be a challenging procedure for the physician and a frightening event for the patient. Forceful attempts at replacement are both painful and dangerous; such attempts may disrupt the soft tissues adjacent to the tracheostomy tract, creating a false passage and potentiating acute respiratory failure. We describe a technique using a standard nasogastric tube that allows safe and precise replacement of tracheostomy tubes in both sedated and combative patients under routine and emergent conditions.
对于医生来说，不定期更换脱落的气管造口管可能是一项具有挑战性的操作，而对患者来说则是一件令人恐惧的事情。强行更换既痛苦又危险；这种尝试可能会破坏气管造口通道附近的软组织，形成假道并加重急性呼吸衰竭。我们描述了一种使用标准鼻胃管的技术，该技术可在常规和紧急情况下，对镇静和躁动的患者安全、精确地更换气管造口管。
