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Clinical use and ma...
Clinical use and material wear of polymeric tracheostomy tubes
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- Björling, Gunilla, Docent (författare)
- Karolinska Institutet,Sophiahemmet Högskola,Department of Clinical Sciences, Division of Anaesthesia and Intensive Care, Karolinska Institutet, Danderyd Hospital, National Respiratory Centre, Stockholm
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- Axelsson, Sara (författare)
- School of Chemical Science and Engineering, Fibre and Polymer Technology, Royal Institute of Technology (KTH), Stockholm
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- Johansson, Unn-Britt (författare)
- Karolinska Institutet,Sophiahemmet Högskola,Sophiahemmet University College, Stockholm
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- Lysdahl, Michael (författare)
- Department of Clinical Sciences, Division of Anaesthesia and Intensive Care, Karolinska Institutet, Danderyd Hospital, National Respiratory Centre, Stockholm
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- Markström, Agneta (författare)
- Karolinska Institutet,Department of Clinical Sciences, Division of Anaesthesia and Intensive Care, Karolinska Institutet, Danderyd Hospital, National Respiratory Centre, Stockholm
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- Schedin, Ulla (författare)
- Department of Clinical Sciences, Division of Anaesthesia and Intensive Care, Karolinska Institutet, Danderyd Hospital, National Respiratory Centre, Stockholm
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- Aune, Ragnhild E. (författare)
- KTH,Materialens processvetenskap,School of Industrial Technology and Management, Materials Science and Engineering, Royal Institute of Technology (KTH), Stockholm
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- Frostell, Claes (författare)
- Karolinska Institutet,Department of Anaesthesiology and Intensive Care Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm
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- Karlsson, Sigbritt (författare)
- School of Chemical Science and Engineering, Fibre and Polymer Technology, Royal Institute of Technology (KTH), Stockholm
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(creator_code:org_t)
- Lippincott Williams & Wilkins, 2007
- 2007
- Engelska.
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Ingår i: The Laryngoscope. - : Lippincott Williams & Wilkins. - 0023-852X .- 1531-4995. ; 117:9, s. 1552-1559
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: The objectives were to compare the duration of use of polymeric tracheostomy tubes, i.e., silicone (Si), polyvinyl chloride (PVC), and polyurethane (PU), and to determine whether surface changes in the materials could be observed after 30 days of patient use. METHODS: Data were collected from patient and technical records for all tracheostomized patients attending the National Respiratory Center in Sweden. In the surface study, 19 patients with long-term tracheostomy were included: six with Bivona TTS Si tubes, eight with Shiley PVC tubes, and five with Trachoe Twist PU tubes. All tubes were exposed in the trachea for 30 days before being analyzed by scanning electron microscopy (SEM) and attenuated total reflectance Fourier transform infrared spectroscopy (ATR-FTIR). New tubes and tubes exposed in phosphate-buffered saline were used as reference. RESULTS: Si tubes are used for longer periods of time than those made of PVC (P < .0001) and PU (P = .021). In general, all polymeric tubes were used longer than the recommended 30-day period. Eighteen of the 19 tubes exposed in patients demonstrated, in one or more areas of the tube, evident surface changes. The morphologic changes identified by SEM correlate well with the results obtained by ATR-FTIR. CONCLUSIONS: Si tracheostomy tubes are in general used longer than those made of PVC and PU. Most of the tubes exposed in the trachea for 30 days suffered evident surface changes, with degradation of the polymeric chains as a result.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oftalmologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Ophthalmology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- TEKNIK OCH TEKNOLOGIER -- Materialteknik (hsv//swe)
- ENGINEERING AND TECHNOLOGY -- Materials Engineering (hsv//eng)
Nyckelord
- tracheostomy
- respiratory failure
- material
- material degradation
- artificial airway
- silicone
- polyvinyl chloride
- polyurethane
- tracheostomy management
- tracheostomy tube
- polyurethanes
- degradation
- Nursing
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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