{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:31:51Z","timestamp":1747150311476,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,3,20]],"date-time":"2022-03-20T00:00:00Z","timestamp":1647734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The benefits of tracheostomy are well documented and include improved comfort and a reduction in sedative requirements that may facilitate more rapid ventilation weaning. A stable airway established with tracheostomy allows pulmonary toilet that may help in addressing aspiration. It is postulated that it may also increase translargyngeal airflow and allow phonation. We hypothesized that taper\u2010shaped cuffed tracheostomy tubes have less bulk upon cuff deflation, and on this basis, gas flow past the deflated tapered cuff is better than non\u2010tapered barrel cuffs and equal to gas flow in equivalent\u2010sized fenestrated versions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This comparative bench study measured exhaled gas flow of Shiley\u2122 Flexible taper\u2010cuffed tracheostomy and Fenestrated Shiley\u2122 FEN tubes of equivalent sizes. Three sizes of Shiley\u2122 tracheostomy tubes were used in printed 3D model tracheas, Jackson sizes 4, 6, and 10 (6.5, 7.5, and 10\u2009mm ISO sizes). A standard ventilator provided tidal volumes to mechanical lungs. Because expiratory volume was the focus, the mechanical lungs exhaled through the model trachea and only the air exiting the model trachea, representing exhalation, was measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Across three sizes, the Shiley\u2122 Flexible tracheostomy tube allowed significantly more translaryngeal airflow compared to the tracheostomy tube with fenestrations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This bench study showed significantly improved air flow past the cuff compared to fenestrated tubes. Improved airflow may help the phonation ability of patients. Clinical studies are required to elucidate use of this cuff design to allow phonation in patients with a tracheostomy.<\/jats:p><jats:p>Level of evidence: NA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.783","type":"journal-article","created":{"date-parts":[[2022,3,20]],"date-time":"2022-03-20T15:38:15Z","timestamp":1647790695000},"page":"494-498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Do tapered tracheostomy cuffs improve translaryngeal gas flow when compared to barrel cuffed fenestrated tubes: A laboratory study"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2743-2300","authenticated-orcid":false,"given":"Ulf","family":"Borg","sequence":"first","affiliation":[{"name":"Department of Medical Affairs Medtronic Minimally Invasive Therapies Group  Boulder Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Bull","sequence":"additional","affiliation":[{"name":"Department of Medical Affairs Medtronic Minimally Invasive Therapies Group  Boulder Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.164994"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000145232.46143.40"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02920"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.159.2.9707046"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1654710"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000256721.60517.B1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2020-000651"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1483-2"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2015.06.003"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000896"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.11.013"},{"key":"e_1_2_9_13_1","unstructured":"BorgU CobbC BullK.Performance characterization of a new tracheostomy tube with subglottic suction port. Paper presented at: ESICM LIVES 2020."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941312200102"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201501-010BC"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002764"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.142.5.903"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2018.02.004"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001749"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2006.04768_1.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2015401"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31826a4804"},{"issue":"10","key":"e_1_2_9_23_1","first-page":"166","article-title":"Does endotracheal tube design affect cuff seal, safety and subglottic suction performance: an in\u2010vitro study?","volume":"3","author":"Lichtenthal P","year":"2015","journal-title":"Int J Anesthesiol Res"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20165"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.783","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lio2.783","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.783","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T22:16:37Z","timestamp":1693001797000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.783"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,20]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1002\/lio2.783"],"URL":"https:\/\/doi.org\/10.1002\/lio2.783","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"type":"print","value":"2378-8038"},{"type":"electronic","value":"2378-8038"}],"subject":[],"published":{"date-parts":[[2022,3,20]]},"assertion":[{"value":"2021-06-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}