Endotracheal tube lumen compromise from cuff overinflation.
نویسنده
چکیده
A chest roentgenogram demonstrates lumen collapse as the cause of ventilatory obstruction in an intubated patient. This problem is not restricted to defective tubes but may be caused by overinflation of the cuff in normal tubes. D espite the impressive record of endotracheal tubes as guardians of an unobstructed airway, human and mechanical failure causing these devices to become dangerous sites of obstruction in the upper airway con-
منابع مشابه
Cuff overinflation and endotracheal tube obstruction: case report and experimental study
BACKGROUND Initiated by a clinical case of critical endotracheal tube (ETT) obstruction, we aimed to determine factors that potentially contribute to the development of endotracheal tube obstruction by its inflated cuff. Prehospital climate and storage conditions were simulated. METHODS Five different disposable ETTs (6.0, 7.0, and 8.0 mm inner diameter) were exposed to ambient outside temper...
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Endotracheal tube (ETT) cuff herniation is not an uncommon event in Intensive Care Units and operating rooms. The cause for this can be displacement of the tube or overinflation of ETT cuff.[1] Usually, it is noticed by the sound of gas leaking around the tube or when there is a fall in tidal volume and end-tidal carbon dioxide (CO2). Confirmation and repositioning of the ETT require direct lar...
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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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Background Both under- and overinflation of endotracheal tube cuffs can result in significant harm to the patient. The optimal technique for establishing and maintaining safe cuff pressures (20-30 cmH2O) is the cuff pressure manometer, but this is not widely available, especially in resource-limited settings where its use is limited by cost of acquisition and maintenance. Therefore, anesthesia ...
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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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ورودعنوان ژورنال:
- Chest
دوره 80 1 شماره
صفحات -
تاریخ انتشار 1981