Abstract
In a recent issue of CHEST (July 2004),1 Ferraro et al suggested using a pediatric uncuffed endotracheal tube that was 4 mm in the inner diameter to ventilate patients during either percutaneous dilational tracheostomy (PDT) according to Ciaglia et al2 or translaryngeal tracheostomy according to Fantoni and Ripamonti.3 This suggestion limits the risk of hypoventilation and allows the whole procedure to proceed under direct vision using a flexible bronchoscope that is inserted parallel to the pediatric tube.
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