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Cuff Deflation: Rehabilitation in Critical Care

Bach, John R. MD; Gonçalves, Miguel R. PhD; Rodriguez, Pedro Landete MD; Saporito, Louis BS; Soares, Luisa BS

American Journal of Physical Medicine & Rehabilitation: August 2014 - Volume 93 - Issue 8 - p 719–723
doi: 10.1097/PHM.0000000000000112
Case Reports

ABSTRACT: This is a case series of rehabilitation failures that resulted in severe reactive depression from patients unnecessarily bereft of verbal communication by being left to breathe or be ventilated via tracheostomy tubes, with or without inflated cuffs, for months to years.

From the Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey (JRB, L. Saporito); Department of Pulmonology, University Hospital of São João, Faculty of Medicine, University of Porto, Porto, Portugal (MRG, L. Soares); and Departamento de Neumología, Hospital Clinico Universitario San Joan D’Alacant, Alicante, Spain (PLR).

All correspondence and requests for reprints should be addressed to: John R. Bach, MD, Department of Physical Medicine and Rehabilitation, University Hospital B-403, 150 Bergen St, Newark, NJ 07103.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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