Continuous endotracheal tube cuff pressure control system protects against ventilator-associated pneumonia

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Continuous endotracheal tube cuff pressure control system protects against ventilator-associated pneumonia

INTRODUCTION The use of a system for continuous control of endotracheal tube cuff pressure reduced the incidence of ventilator-associated pneumonia (VAP) in one randomized controlled trial (RCT) with 112 patients but not in another RCT with 142 patients. In several guidelines on the prevention of VAP, the use of a system for continuous or intermittent control of endotracheal cuff pressure is no...

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Continuous control of tracheal cuff pressure: an effective measure to prevent ventilator-associated pneumonia?

In a previous issue of Critical Care, Lorente and colleagues reported the results of a prospective observational study aiming at evaluating the effect of continuous control of cuff pressure (Pcuff ) on the incidence of ventilator-associated pneumonia (VAP). The results suggest a beneficial impact of this intervention on VAP prevention, which is in line with the results of a recent randomized co...

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Automatic endotracheal tube cuff inflator and continuous pressure monitor/controller.

Endotracheal tube cuff pressure over 30 cm of water has been found to occur in about 50% of cases where cuff inflation was performed without monitoring, using pilot balloon palpation, minimal leak, or minimal occlusive volume techniques1. The incidence of post operative respiratory complications such as cough, sore throat, hoarseness, blood-streaked expectoration, and even tracheal stenosis is ...

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Endotracheal tube-associated pneumonia.

1. Pneumatikos IA, Dragoumanis CK, Bouros DE: Ventilator-associated pneumonia or endotracheal tube-associated pneumonia? An approach to the pathogenesis and preventive strategies emphasizing the importance of endotracheal tube. ANESTHESIOLOGY 2009; 110:673–80 2. Berra L, Curto F, Li Bassi G, Laquerriere P, Baccarelli A, Kolobow T: Antibacterial-coated tracheal tubes cleaned with the Mucus Shave...

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Automated control of endotracheal tube cuff pressure during simulated flight.

BACKGROUND Successful mechanical ventilation requires that the airway be controlled by an endotracheal tube (ETT) with an inflatable cuff to seal the airway. Aeromedical evacuation represents a unique challenge in which to manage ETT cuffs. We evaluated three methods of automatic ETT cuff pressure adjustment during changes in altitude in an altitude chamber. METHODS Size 7.5 and 8.0 mm ETTs t...

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ژورنال

عنوان ژورنال: Critical Care

سال: 2014

ISSN: 1364-8535

DOI: 10.1186/cc13837