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An Evaluation of Tracheostomy in Pulmonary Emphysema

Ann Intern Med. 1963;58(6):953-960. doi:10.7326/0003-4819-58-6-953
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Other than for relief of obstruction at or above the larynx, tracheostomy is usually performed to facilitate the removal of secretions and improve the efficiency of ventilation. If the only purpose of a tracheostomy in a patient with severe pulmonary emphysema is to remove pulmonary secretions retained because of inability to cough, then the tracheostomy should be removed as soon as the emergency is over, or should be closed most of the time and opened only for intratracheal aspiration as in the plastic flap-type procedure devised by Rockey et al. (1). It has been shown by Tyler (2) and by


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