Control of tracheal cuff pressure

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Comparison of tracheal tube cuff inflation pressure among anesthesia team with different gradual level

Background & Objectives: Tracheal intubation is frequently performed in operating room. Over inflation of the endotracheal tube cuff is a risk factor for tracheal ischemia and subsequent complications. On the other hand inadequate cuff pressure increases the risk of aspiration of gastric contents. In this study, the endotracheal tube cuff pressure filled by the anesthesia team has been compared...

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Maintenance of tracheal tube cuff pressure: where are the limits?

Continuous control of tracheal tube cuff inflation using a pneumatic device resulted in severe tracheal wall damage in ventilated piglets. This damage was similar in piglets managed with manual control of cuff inflation. The periodic hyperinflation of the tube cuff used in both groups of this study may explain these results. This manoeuvre should be avoided in clinical practice.

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Continuous control of tracheal cuff pressure and microaspiration of gastric contents in critically ill patients.

RATIONALE Underinflation of the tracheal cuff frequently occurs in critically ill patients and represents a risk factor for microaspiration of contaminated oropharyngeal secretions and gastric contents that plays a major role in the pathogenesis of ventilator-associated pneumonia (VAP). OBJECTIVES To determine the impact of continuous control of tracheal cuff pressure (P(cuff)) on microaspira...

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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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Continuous control of endotracheal cuff pressure and tracheal wall damage: a randomized controlled animal study

BACKGROUND Intubation is frequently performed in intensive care unit patients. Overinflation of the endotracheal tube cuff is a risk factor for tracheal ischemia and subsequent complications. Despite manual control of the cuff pressure, overinflation of the endotracheal cuff is common in intensive care unit patients. We hypothesized that efficient continuous control of the endotracheal cuff pre...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2000

ISSN: 0003-2409

DOI: 10.1046/j.1365-2044.2000.01378-17.x