Your browser doesn't support javascript.
loading
Behavior of Endotracheal Tube Cuff Pressure During a Routine Control Maneuver With Different Manometers.
Gonzalez, Ivan; Dominguez, Camila B; Di Salvo, Emanuel; Loustau, Malena P; Acevedo, Valeria S; Celano, Melisa D; Melero, Juan C; Bianchini, Facundo Jf; Gutierrez, Facundo J; Mariani, Javier; Murias, Gastón; Plotnikow, Gustavo A.
Afiliação
  • Gonzalez I; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina. ivan95.gonz@gmail.com.
  • Dominguez CB; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Di Salvo E; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Loustau MP; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Acevedo VS; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Celano MD; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Melero JC; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Bianchini FJ; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Gutierrez FJ; Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Mariani J; Non-sponsored Clinical Research Department, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Murias G; Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina.
  • Plotnikow GA; Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Buenos Aires City, Buenos Aires, Argentina; and Universidad Abierta Interamericana, Facultad de Medicina y Ciencias de la Salud, Buenos Aires City, Buenos Aires, Arg
Respir Care ; 68(10): 1400-1405, 2023 10.
Article em En | MEDLINE | ID: mdl-37221082
BACKGROUND: The main functions of the endotracheal tube (ETT) cuff are to prevent aspiration and to allow pressurization of the respiratory system. For this purpose, it is essential to maintain adequate pressure inside the cuff, thus reducing the risks for the patient. It is regularly checked using a manometer and is considered the best alternative. The objective of this study was to evaluate the cuff pressure behavior of different ETTs during the simulation of an inflation maneuver using different manometers. METHODS: A bench study was performed. Four brands of 8-mm internal diameter single lumen with a Murphy eye ETT with cuff and 3 different brands of manometers were used. In addition, a pulmonary mechanics monitor was connected to the inside of the cuff through the body of the distal end of the ETT. RESULTS: A total of 528 measurements were made on the 4 ETTs. During the complete procedure (connection and disconnection), there was a significant pressure drop of 7 ± 1.4 cm H2O from the initial pressure (Pinitial) (P < .001), of which 6 ± 1.4 cm H2O was lost during connection (difference between Pinitial and Pconnection). The Preconnection value was 19.1 ± 1.6 cm H2O, showing a significant total pressure drop of 11 ± 1.6 cm H2O (difference between Pinitial and Preconnection) (P < .001). The Pfinal mean was 29.6 ± 1.3 cm H2O. Significant differences were found between manometers according to the time of measurement. A similar phenomenon was evidenced when analyzing different ETTs. CONCLUSIONS: Significant pressure changes occur secondary to ETT cuff measurement, which has important implications for patient safety.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traqueia / Intubação Intratraqueal Limite: Humans Idioma: En Revista: Respir Care Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traqueia / Intubação Intratraqueal Limite: Humans Idioma: En Revista: Respir Care Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos