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Benoit J. Bibas, MD, Roberto A. Bibas, MD 

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Presentation on theme: "Benoit J. Bibas, MD, Roberto A. Bibas, MD "— Presentation transcript:

1 A New Technique for T-Tube Insertion in Tracheal Stenosis Located Above the Tracheal Stoma 
Benoit J. Bibas, MD, Roberto A. Bibas, MD  The Annals of Thoracic Surgery  Volume 80, Issue 6, Pages (December 2005) DOI: /j.athoracsur Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The patient is intubated with a narrow lumen endotracheal tube. This tube is connected to an uncuffed tube of the same caliber. The tip of the endotracheal tube is pulled out through the tracheostomy and is inserted into the proximal part of the vertical limb of the T-tube. The cuff is inflated so that both the T-tube and the endotracheal tube can be pulled together. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The endotracheal tube is pulled upwards while the T-tube is pushed towards the carina. The T-tube smoothly slides into position. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 With the T-tube in its correct position, the cuff of the endotracheal tube is deflated and the endotracheal tube is removed. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

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