[abstract] ALTERNATIVE BREATHING GAS DELIVERY SYSTEM FOR TRACHEOSTOMY PATIENTS IN THE MULTIPLACE HYPERBARIC CHAMBER

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[abstract] ALTERNATIVE BREATHING GAS DELIVERY SYSTEM FOR TRACHEOSTOMY PATIENTS IN THE MULTIPLACE HYPERBARIC CHAMBER

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Title: [abstract] ALTERNATIVE BREATHING GAS DELIVERY SYSTEM FOR TRACHEOSTOMY PATIENTS IN THE MULTIPLACE HYPERBARIC CHAMBER
Author: Swaby, K; Ross, C; Sutton, T; Swaby, G; Benavidez, TE; Berry, JA; Fife, CE
Abstract: BACKGROUND: Radiation injury to soft and bony tissue is a UHMS approved indication for hyperbaric oxygen therapy. Patients with previous radiation therapy to the head or neck frequently require a tracheostomy. The provision of humidified gas delivery to patients without tracheostomy appliances is normally accomplished using a Duke Hood with a rubber neck dam. In those patients with a stoma that is at or below the normal junction of the neck and neck dam a different solution is required. A frequently proposed method of gas delivery to these patients is a Duke Hood that is taped to the back and chest below the level of the stoma. Some difficulties we have encountered with this method are (a) quick access to the patient's airway is restricted, (b) the proximity of the hood skirt to the stoma may allow for intermittent stomal occlusion, and (c) daily taping of chest and back causes a high degree of irritation, especially to irradiated skin. METHOD: We have utilized traditional tracheostomy with a modified T-piece delivery system to provide oxygen to these patients. The stoma is surrounded with semi permanent ostomy adhesive and the breathing system is attached. The exhaust tubing is placed next to the overboard dump for the constant vent. One-way valves prevent rebreathing. CONCLUSIONS: The following benefits have been noted: (a) humidified, high-flow gas delivery with minimal respiratory effort or rebreathing, (b) taping to skin surface is reduced and reapplication is required only every 5 - 6 days, and (c) using demand regulator maintains ambient chamber oxygen level at 21percent.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1389
Date: 2003

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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