Achieving recommended endotracheal tube intracuff pressure: a randomized control study comparing loss of resistance syringe to pilot balloon palpation (the LOR-ICP trial, nct02294422)
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چکیده
Introduction It has been agreed that the safe endotracheal tube intracuff pressures ranges from 20cmH2O to 30cmH2O with pressures above that range being dangerous to the patient even for a short time. While there are many different methods of inflation, the cuff manometer is considered the standard. However, its applicability in clinical practice is marred with numerous hindrances. Without the cuff manometer, anaesthesia providers employ a varied range of subjective methods to inflate and estimate optimal ETT cuff pressure. The most common method used is the palpation of the pilot balloon. This method has been shown to administer high ETT cuff pressures which are associated with both early and late post extubation airway symptoms.
منابع مشابه
Achieving the Recommended Endotracheal Tube Cuff Pressure: A Randomized Control Study Comparing Loss of Resistance Syringe to Pilot Balloon Palpation
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 ...
متن کاملAn in vitro and in vivo validation of a novel color-coded syringe device for measuring the intracuff pressure in cuffed endotracheal tubes.
BACKGROUND The clinical practice of pediatric anesthesiology has changed with a transition to the use of cuffed endotracheal tubes (ETTs) in infants and children. The monitoring of intracuff pressure has been suggested as one means to limit the potential for damage to the tracheal mucosa. The current study evaluates the accuracy of a novel, color-coded syringe device which provides three zones ...
متن کاملAn in vitro and in vivo validation of a novel monitor for intracuff pressure in cuffed endotracheal tubes.
BACKGROUND The clinical practice of pediatric anesthesiology has changed with increasing use of cuffed endotracheal tubes (cETTs) in infants and children. To limit the risk of tracheal mucosal damage, regular monitoring of intracuff pressure (CP) is necessary. This study evaluates the efficacy and accuracy of a novel syringe device that provides a digital readout of the CP. METHODS The study ...
متن کاملAutomatic 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 ...
متن کاملUse of pressure volume loop closure to check for endotracheal tube cuff function. Randomized clinical trial.
OBJECTIVE To assess the efficacy of pressure volume loop (PV-L) closure as an indicator of adequate endotracheal tube cuff (ETTc) function, and to compare this with commonly used methods of checking cuff pressure. METHODS We conducted a randomized clinical trial at the Department of Anesthesia, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia from October 2011 to February 2...
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