What size tube doctor? Bigger may be better - at least for weaning
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
Critical Care 2013, 17:422 doi:10.1186/cc12545Published: 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.