Canadian Anaesthetists’ Society Journal

, Volume 11, Issue 6, pp 598–608 | Cite as

Observation on the use of cuffed tracheqstomy tubes (with particular reference to the james tube)

  • J A Bain
  • W E Spoerel


Of the many modifications of the cuffed tracheostomy tube, introduced by Trendelenburg m 1869, the “James Tube” manufactured for Medidal and Industrial Equipment Company has been used frequently in our hospital m association with I P P B and for protection against aspiration The angle and the smooth curve of the tube facilitate adjustment to individual patients) and suction

The length of the tube may present problems and we prefer an X-ray control of its position Minor adjustments are made by placing a foam Rubber cushion under the connector

Continuous humidificabon is essential to avoid obstruction of the lumen by inspissated mucus patients with rubber tracheostomy tubes require expert supervision and care

The pressure in the cuff necessary to prevent an air leak is related to the inspiratory pressure required in IPPB Tracheal dilatation was found to be associated with the use of high inflation presures, and the volume of air used in the cuff as well as the diameter of the cuff seen in a chest X-ray appears to be related to pulmonary complications


Nous Avons Lateral Pressure Inspiratory Pressure Tracheostomy Tube Parmi 
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Parmi les nombreuses variétés de tubes ave ballonnet utilisés dans les trachéotonnes et introduits par Trendelenburg en 1869 nous avons souvent utilisé, pour la respiration sous pression positive intermittente et comme protection contre la régurgitation, le tube de James fabriqué pour la “Medical and Industrial Equipment Company ” L’angulation et la courbe douce du tube en facihtent ’ajustement à chaque malade et à chaque genre de succion

La longueur du tube peut présenter des problèmes, et nous préférons contrôler sa position par une radiographie

Une humidification continuelle est nécessaire si l’on veut éviter l’obstruction de la lumière par du mucus, les malades porteurs d’un tube è trachéotomie en caoutchouc doivent faire l’objet d’une surveillance et de soins spéciaux

La pression-requise dans le ballonnet pour empêcher les fuites d’air est en rapport avec la pression inspiratoire requise pour la respiration sous pression positive intermittente On a trouvé de la dilatation trachéale associée à un gonflement exagàrà du ballonnet, et le volume d’air utilisé dans le ballonnet de même que le diamétre du ballonnet, visibles aux rayons-X, semblent être en rapport avec les complications pulmonaires


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Copyright information

© Canadian Anesthesiologists 1964

Authors and Affiliations

  • J A Bain
  • W E Spoerel
    • 1
  1. 1.Department of AnaesthesiaUniversity of Western Ontario and Victoria HospitalLondon

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