Study of endotracheal tube cuff pressure and time of measurement among intensive care units patients
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چکیده مقاله:
Introduction: The pressure in the endotracheal tube cuff must be kept within an optimal range, to make sure tracheal capillaries circulation still stable during positive ventilation. This is essential to avoid oral and gastric stuffing aspiration Objective: The objective of this study was to assess the endotracheal tube cuff pressure and time intervals measurements among intensive care units patients Methods: This study was cross sectional designed to perform on 61 patients with oral intubation in the intensive care units, Rasht educational therapeutic centers, during the summer of 2013 for three months. A manometer was used to measure the cuff pressure twice every 6 hours interval. Different variables like age, sex, diagnosis, Body Mass Index and days intubated also were measured. All data obtained were analyzed using descriptive statistics (mean, standard deviation distribution) and inferential statistics (T test, Pearson, ANOVA) Results: This study indicated that the cuff pressure was normal in 16.4% cases at the first step and after 6 hours, cuff pressure adjustment increased by 78.7%. The results show that correlation between days intubated and cuff pressure (in first evaluation P= 0.002, in second evaluation P=0.01) and BMI (in first evaluation P= 0.007, in second evaluation P=0.03 were significant Conclusion: This study showed that despite of 6 hours cuff pressure control, the range of miss regulation was 21.3%. This issue highlights that to prevent complication due to over and under inflation of cuff, a fewer intervals between cuff pressure control is required
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CONTEXT High compliance endotracheal tubes cuffs are used to prevent gas leak and also pulmonary aspiration in mechanically ventilated patients. However, the use of the usual cuff inflation volumes may cause tracheal damage. OBJECTIVE We tested the hypothesis that endotracheal tube cuff pressures are routinely high (above 40 cmH2O) in the Post Anesthesia Care Unit (PACU) or Intensive Care Uni...
متن کاملaccuracy of endotracheal tube cuff pressure adjustment by fingertip palpation after training of intensive care unit nurses
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OBJECTIVES Endotracheal tube cuff (ETTc) inflation by standard methods may result in excessive ETTc pressure. Previous studies have indicated that methods of cuff inflation most frequently used to inflate ETTcs include palpation of the tension in the pilot balloon or injection of a predetermined volume of air to inflate the pilot balloon. If a logarithmic relationship exists between ETTc volume...
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عنوان ژورنال
دوره 26 شماره 2
صفحات 29- 37
تاریخ انتشار 2016-06
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