Changes in intracuff pressure of cuffed endotracheal tubes while positioning for adenotonsillectomy in children

2016 ◽  
Vol 26 (5) ◽  
pp. 500-503 ◽  
Author(s):  
Griffin H. Olsen ◽  
Senthil G. Krishna ◽  
Kris R. Jatana ◽  
Charles A. Elmaraghy ◽  
James M. Ruda ◽  
...  



2017 ◽  
Vol 27 (5) ◽  
pp. 494-500 ◽  
Author(s):  
Senthil G. Krishna ◽  
Mumin Hakim ◽  
Roby Sebastian ◽  
Heather L. Dellinger ◽  
Dmitry Tumin ◽  
...  


2007 ◽  
Vol 125 (6) ◽  
pp. 322-328 ◽  
Author(s):  
Lais Helena Camacho Navarro ◽  
José Reinaldo Cerqueira Braz ◽  
Giane Nakamura ◽  
Rodrigo Moreira e Lima ◽  
Fredson de Paula e Silva ◽  
...  

CONTEXT AND OBJECTIVE: High intracuff pressure in endotracheal tubes (ETs) may cause tracheal lesions. The aim of this study was to evaluate the effectiveness and safety of endotracheal tube cuffs filled with air or with alkalinized lidocaine. DESIGN AND SETTING: This was a prospective clinical study at the Department of Anesthesiology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista. METHODS: Among 50 patients, ET cuff pressures were recorded before, 30, 60, 90 and 120 minutes after starting and upon ending nitrous oxide anesthesia. The patients were randomly allocated to two groups: Air, with ET cuff inflated with air to attain a cuff pressure of 20 cmH2O; and Lido, with ET cuff filled with 2% lidocaine plus 8.4% sodium bicarbonate to attain the same pressure. ET discomfort before tracheal extubation, and sore throat, hoarseness and coughing incidence were studied at the time of discharge from the post-anesthesia care unit, and sore throat and hoarseness were studied 24 hours after anesthesia. RESULTS: Pressures in Lido cuffs were significantly lower than in Air cuffs (p < 0.05). Tracheal complaints were similar for the two groups, except for lower ET discomfort and sore throat incidence after 24 hours and lower systolic arterial pressure at the time of extubation in the Lido group (p < 0.05). CONCLUSION: ET cuffs filled with alkalinized lidocaine prevented the occurrence of high cuff pressures during N2O anesthesia and reduced ET discomfort and postoperative sore throat incidence. Thus, alkalinized lidocaine-filled ET cuffs seem to be safer than conventional air-filled ET cuffs.



2019 ◽  
Vol 47 (4) ◽  
pp. 378-384 ◽  
Author(s):  
Julie Lee ◽  
Heather Reynolds ◽  
Anita M Pelecanos ◽  
André AJ van Zundert

Correct intracuff pressure of endotracheal tubes and supraglottic airway devices is required to avoid complications such as sore throat, dysphagia and dysphonia, while maintaining an adequate airway seal. However, intracuff pressure monitoring of airway devices during general anaesthesia may not receive the attention it deserves. The aim of this survey was to investigate the current practice regarding intraoperative cuff pressure monitoring in hospitals across Australia and New Zealand. An online ten-question survey was disseminated by the Australian and New Zealand College of Anaesthetists Clinical Trials Network to a randomised selection of 1000 Australian and New Zealand College of Anaesthetists Fellows working in private and public hospitals of varying sizes. There were 305 respondents in total, but not all respondents answered all questions. In total, 67 of 304 respondents (22.0%) did not have access to a cuff pressure manometer at their main site of work, and of these, 30 (9.9%) expressed that they would like access to one in their daily practice. Of 288 respondents, 122 (40.0%) reported that they used cuff pressure monitoring as part of their routine practice, but 95 (33.0%) measured the cuff pressure at induction only. For supraglottic airway devices, only 44 of 250 respondents (17.6%) aimed for a cuff pressure of 40–60 cmH2O. Of 255 respondents, 101 (39.6%) aimed for a cuff pressure of 20–30 cmH2O for endotracheal tubes. These findings indicate that educational programmes are required to increase the availability and use of cuff pressure monitoring devices for both endotracheal tubes and supraglottic airway devices across Australia and New Zealand.



2013 ◽  
Vol 77 (7) ◽  
pp. 1135-1138 ◽  
Author(s):  
Senthil Gopalakrishnan ◽  
N’Diris Barry ◽  
Julie Rice ◽  
Joseph D. Tobias


2014 ◽  
Vol 24 (9) ◽  
pp. 1005-1008 ◽  
Author(s):  
Archana S. Ramesh ◽  
Senthil G. Krishna ◽  
William T. Denman ◽  
Joseph D. Tobias


2000 ◽  
Vol 17 (Supplement 19) ◽  
pp. 29
Author(s):  
C. Retroz Marques ◽  
A. Moreira Marques ◽  
A. C. Lopes






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