The role of osmolality in saline fluid nebulization after tracheostomy: time for changing?

There is no doubt that tracheostomy may cause injury to mucosa and cilia, and our result have suggested the protective effects of nebulization on trachea mucosa and cilia, there is approximately 10% difference in the cilia injury area between intervention groups, but this did not reach statistical significance, and again 3% saline nebulization seems to be more advantageous in reducing cilia injury area and maintaining integrity of mucosa.

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