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Highly Accessed Letter

What size tube doctor? Bigger may be better - at least for weaning

David JP O'Callaghan and Duncan Wyncoll*

Author Affiliations

Department of Adult Critical Care, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, 1st Floor East Wing, Lambeth Palace Road, London SE1 7EH, UK

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Critical Care 2013, 17:422  doi:10.1186/cc12545

Published: 27 March 2013

First paragraph (this article has no abstract)

Recent experience has compelled us to write this letter as several patients, referred to our hospital and labelled slow-weaners, made rapid progress when upsized to a larger internal diameter (ID) tracheostomy. Accelerated weaning with larger ID tracheostomies is partially explained by physical principles.