Email updates

Keep up to date with the latest news and content from Critical Care and BioMed Central.

Highly Accessed Open Badges Letter

What size tube doctor? Bigger may be better - at least for weaning

David JP O'Callaghan and Duncan Wyncoll*

Author Affiliations

Department of Adult Critical Care, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, 1st Floor East Wing, Lambeth Palace Road, London SE1 7EH, UK

For all author emails, please log on.

Critical Care 2013, 17:422  doi:10.1186/cc12545

Published: 27 March 2013

First paragraph (this article has no abstract)

Recent experience has compelled us to write this letter as several patients, referred to our hospital and labelled slow-weaners, made rapid progress when upsized to a larger internal diameter (ID) tracheostomy. Accelerated weaning with larger ID tracheostomies is partially explained by physical principles.