Effect of tracheal dilatation and rupture on mechanical ventilation using a low-pressure cuff tube.
نویسندگان
چکیده
We report the case of a 36-year-old woman who suffered tracheal dilatation and rupture despite careful monitoring of intracuff pressure. Surgical manipulation, postoperative mediastinitis, and bacterial staphylococcal tracheitis may be involved in the development of this complication.
منابع مشابه
Management of low tracheal rupture in patients requiring mechanical ventilation for acute respiratory distress syndrome.
MANAGEMENT of tracheal rupture involving the lower third of the trachea is a difficult issue. As suggested by recent literature, conservative treatment should be considered in spontaneously breathing patients, to allow the injury to heal. For those requiring mechanical ventilation, this healing is hindered by the presence of the cuff resting on the injury and/or by the positive airway pressure....
متن کاملبررسی تاثیر تغییر وضعیت بدن بر فشار کاف لوله تراشه در بیماران تحت تهویه مکانیکی
Background: Endotracheal tube cuff pressure must be maintained in safe range. Many factors could be affecting on endotracheal tube cuff pressure in patients on mechanical ventilation. Patients undergoing mechanical ventilation (MV) in critical care settings require changing position for different reasons. The aim of this study was to determine the effect of changes in body position and head of ...
متن کاملComparison 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...
متن کاملEffect of tracheal suctioning on aspiration past the tracheal tube cuff in mechanically ventilated patients
UNLABELLED BACKGROUND This clinical study evaluated the effect of a suctioning maneuver on aspiration past the cuff during mechanical ventilation. METHODS Patients intubated for less than 48 hours with a PVC-cuffed tracheal tube, under mechanical ventilation with a PEEP ≥5 cm H2O and under continuous sedation, were included in the study. At baseline the cuff pressure was set at 30 cm H2O. ...
متن کاملEffect of body position and head of bed angle on intra-abdominal and endotracheal tube cuff pressure in mechanically ventilated patients
Introduction: Changing position is one of the typical nursing care in intensive care units. This study aimed to investigate the effect of body positioning on intra-abdominal pressure and endotracheal tube cuff pressure and their relationship with each other in patients undergoing mechanical ventilation Materials and Methods: This was a before-after clinical trial study performed on 70 patients ...
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ورودعنوان ژورنال:
- Chest
دوره 104 2 شماره
صفحات -
تاریخ انتشار 1993