Pressure on the tracheal mucosa from cuffed tubes.
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چکیده
منابع مشابه
Pressure on the tracheal mucosa from cuffed tubes.
During cuffed intubation, damage to the trachea is least likely when the lateral wall pressure exerted by the cuff does not exceed the mean capillary perfusion pressure of the mucosa. A study was carried out of eight different types of endotracheal tubes. At the seal point the traditional red rubber tube and the armoured latex and Softway tubes exerted pressures above the mean systemic arterial...
متن کاملThe effects of cuffed endotracheal tubes on the tracheal wall.
Direct tracheoscopy was employed to assess tracheal damage following prolonged intubation. Comparison of conventional and low-pressure cuffs showed that there was less trauma from the low-pressure cuff. Comparison of tube sizes showed a reduction in injury with 8-mm diameter tubes compared with larger ones. Knowledge of tracheal damage following prolonged endotracheal intubation has depended hi...
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1 Blumenthal MR and Kornfeld P: Edrophonium chloride for paroxysmal auricular tachycardia. JAMA 161:1001, 1956 2 Moss AJ and Aledort LM: Use of edrophonium (Tensilo&) in the evaluation of supravenhicular tachycardias. Amer J Cardiol, 17:58,1966 3 Bellet S: Clinical Disorders of the Heart Beat (2nd Ed). Philadelphia, Lea & Febiger, 1963, p 998 4 Gould L and Lyon AL: Conversion of atrial flutter ...
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The efficiency of a foam cuffed tracheal tube has been studied in protecting the pulmonary tree from aspiration of oropharyngeal and gastric contents. Following instillation of methylene blue dye above the cuff, subsequent fibreoptic bronchoscopy revealed no instance of dye staining of the tracheal mucosa. A "bench" study was undertaken subsequently to estimate the likely pressure that the cuff...
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Whether cuffed tubes should be routinely used in infants and small children has been extensively discussed in the past. However, opinions and recommendations were not based on scientific evidence but rather on empiricism. The basic function of a tracheal tube is to provide a reliable connection between the patient’s lung and the bag or ventilator. Ideally, this connection should be leak-proof w...
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ژورنال
عنوان ژورنال: BMJ
سال: 1979
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.1.6172.1173