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\begin{document}

\title{The `Umbrella Furling' Deflation Technique for Cuffed Tracheostomy Tube
- A Useful Tip for An Easier Tracheostomy Insertion}



\author[1]{Estelle How Hong}%
\author[2]{Lucy Li}%
\author[3]{Omar Hilmi}%
\author[1]{Kerry Haddow}%
\affil[1]{NHS Tayside}%
\affil[2]{Queen Elizabeth University Hospital}%
\affil[3]{NHS Greater Glasgow and Clyde}%


\vspace{-1em}



  
  \date{May 19, 2024}


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\begin{abstract}
Key points: * When deflated, folds often form in the balloon cuff of a
tracheostomy tube resulting in additional friction when inserting the
tube. * Furthermore, this potentially increases the risk of cuff
rupture, particularly in patients with calcified tracheas and iatrogenic
tracheal injury from using excessive physical force when inserting a
tracheostomy tube. * The `Umbrella Furling' technique for deflating the
cuff of a tracheostomy tube is a simple approach whereby the cuff is
slowly deflated with a damp gauze wrapped around it while simultaneously
twisting the tracheostomy tube. * This enables the deflated cuff to sit
flush to the tube, therefore allowing an easier ``reduced-friction''
insertion of a cuffed tracheostomy tube and reducing the risk of damage
to the cuff. * The same technique can be used to facilitate the
insertion of endotracheal tubes through an enclosed laryngoscope.%
\end{abstract}%



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