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To the Editor:—
I found the article "Mechanical Respirators" (199: 149, 1967) most interesting. However, I think an important point was left out under the section on care of the respirator patient, that being the deflation of the tracheostomy-tube cuff for probably 20 or 30 seconds every hour. There are a number of cases of tracheostenosis directly related to pressure from the tracheal tube, and this complication frequently causes more problems than the original illness. We have had two patients who have required tracheal resections for tracheostenosis of this origin.
Hill CL. Mechanical Respirators. JAMA. 1967;200(11):1002. doi:10.1001/jama.1967.03120240130039