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In a message dated 8/21/01 11:52:42 AM Eastern Daylight Time,

medsteno@... writes:

<< s/l acid

chloride was used to anesthetize the left medial

patellar borders. >>

See if you can hear ethyl chloride.

Peggy

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  • 2 weeks later...

I'm going to post the entire report to give you the

whole picture..(if anyone sees anything in this report

that just is not correct or typed wrong or whatever,

please don't hesitate to let me know..

XXX presents today because her #7 uncuffed fenestrated

Sims Portex tube came out. She was seen in an

emergency room at which time they placed a #4 Shiley

which has not provided her with an adequate airway.

The #4 Shiley was removed. The peristomal skin was

cleaned with Hibiclens. The granulation tissue around

the edge of the tracheostomy was cauterized with

silver nitrate. A new #7 uncuffed fenestrated Sims

Portex tube was then inserted without difficulty and

her airway was excellent. A second tube was given to

her in case she developed any further problems, and

the s/l (salad or satellite) for the tube that was

placed in was also given to her. Careful instructions

were given as to the different parts and what would be

needed if the tube needed to be replaced again.

Hopefully, we will not run into this problem again.

Thanks

Dana

=====

Dana

medsteno@...

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