Ronald is admitted for stenosis of his tracheostomy. He is a quadriplegic, C1-C4 secondary to spinal cord injury suffered in a diving accident. He has chronic respiratory failure and is maintained on mechanical ventilation. He undergoes revision of his tracheostomy.

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Ronald is admitted for stenosis of his tracheostomy. He is a quadriplegic, C1-C4 secondary to spinal cord injury suffered in a diving accident. He has chronic respiratory failure and is maintained on mechanical ventilation. He undergoes revision of his tracheostomy.