{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:50:51Z","timestamp":1784638251836,"version":"3.55.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Tracheostomies provide many advantages for the care of patients who are critically ill but may also result in complications, including tracheostomy-related pressure injuries. Research efforts into the prevention of these pressure injuries has resulted in specialized clinical care teams and pathways. These solutions are expensive and labor intensive, and fail to target the root cause of these injuries; namely, pressure at the device-skin interface. Here we measure that pressure directly and introduce a medical device, the tracheostomy support system, to reduce it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This was a cross-sectional study of 21 subjects in the ICU, each with a tracheostomy tube connected to a ventilator. A force-sensing resistor was used to measure baseline pressures at the device-skin interface along the inferior flange. This pressure was then measured again with the use of the tracheostomy support system in the inactive and active states. Resultant pressures and demographics were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Fifteen male and 6 female subjects, with an average age of 47 \u00b1 14 (mean \u00b1 SD) years, were included in this study. Average pressures at the tracheostomy-skin interface at baseline in these 21 ICU subjects were 273 \u00b1 115 (mean \u00b1 SD) mm Hg. Average pressures were reduced by 59% (median 62%, maximum 98%) with the active tracheostomy support system to 115 \u00b1 83 mm Hg (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). All the subjects tolerated the tracheostomy support system without issue.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Despite best clinical practice, pressure at the tracheostomy-skin interface can remain quite high. Here we provide measures of this pressure directly and show that a tracheostomy support system can be effective at minimizing that pressure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.11160","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T10:00:19Z","timestamp":1713261619000},"page":"839-846","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A Tracheostomy Support Device to Reduce Tracheostomy-Related Pressure Injury"],"prefix":"10.1177","volume":"69","author":[{"given":"Andrew M","family":"Vahabzadeh-Hagh","sequence":"first","affiliation":[{"name":"The Department of Otolaryngology\/Head and Neck Surgery, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Lindenmuth","sequence":"additional","affiliation":[{"name":"The Jacobs School of Engineering, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeyu","family":"Feng","sequence":"additional","affiliation":[{"name":"The Jacobs School of Engineering, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaycee G","family":"Custodio","sequence":"additional","affiliation":[{"name":"Respiratory Care, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiv H","family":"Patel","sequence":"additional","affiliation":[{"name":"Patel is affiliated with the School of Medicine, University of California, San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.08.006"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000523"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.4837"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1564872"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816689584"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2022659"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2022657"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000580"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102480"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13071"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0649"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.08206"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000802864.20939.2d"},{"key":"e_1_3_2_15_2","volume-title":"Prevention and Treatment of Pressure Ulcers\/Injuries: Quick Reference Guide","author":"Haesler E","year":"2019","unstructured":"European Pressure Ulcer Advisory Panel, National Pressure Injury Advisor Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers\/Injuries: Quick Reference Guide. Haesler E. ed. 2019."},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000834"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24094"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.101287"},{"issue":"10","key":"e_1_3_2_19_2","first-page":"CD011332","article-title":"Foam dressings for treating pressure ulcers","volume":"10","author":"Walker RM","year":"2017","unstructured":"Walker RM, , Gillespie BM, , Thalib L, , Higgins NS, , Whitty JA. Foam dressings for treating pressure ulcers. Cochrane Database Syst Rev, 2017; 10(10):CD011332.","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.11160","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.11160","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.11160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T10:54:12Z","timestamp":1775559252000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.11160"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,28]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.4187\/respcare.11160"],"URL":"https:\/\/doi.org\/10.4187\/respcare.11160","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6,28]]}}}