scholarly journals Endotracheal tube cuff pressure: need for precise measurement

1999 ◽  
Vol 117 (6) ◽  
pp. 243-247 ◽  
Author(s):  
José Reinaldo Cerqueira Braz ◽  
Lais Helena Camacho Navarro ◽  
Ieda Harumi Takata ◽  
Paulo Nascimento Júnior
Keyword(s):  
Nitrous Oxide ◽  
Intensive Care ◽  
Endotracheal Tube ◽  
Cuff Pressure ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Endotracheal Tube Cuff ◽  
Endotracheal Tubes ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure

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 Units (ICU). DESIGN: Cross-sectional study. SETTING: Post anesthesia care unit and intensive care unit. PARTICIPANTS: We measured endotracheal tubes cuff pressure in 85 adult patients, as follows: G1 (n = 31) patients from the ICU; G2 (n = 32) patients from the PACU, after anesthesia with nitrous oxide; G3 (n = 22) patients from the PACU, after anesthesia without nitrous oxide. Intracuff pressure was measured using a manometer (Mallinckrodt, USA). Gas was removed as necessary to adjust cuff pressure to 30 cmH2O. MAIN MEASUREMENTS: Endotracheal tube cuff pressure. RESULTS: High cuff pressure (> 40 cmH2O) was observed in 90.6% patients of G2, 54.8% of G1 and 45.4% of G3 (P < 0.001). The volume removed from the cuff in G2 was higher than G3 (P < 0.05). CONCLUSION: Endotracheal tubes cuff pressures in ICU and PACU are routinely high and significant higher when nitrous oxide is used. Endotracheal tubes cuff pressure should be routinely measured to minimize tracheal trauma.

scholarly journals The effect of an educational intervention on nurses’ knowledge of managing endotracheal tube cuff pressure in intensive care units: A quasi-experimental study

2019 ◽  
Author(s):  
Ferestas Mpasa ◽  
Dalena R. M. van Rooyen ◽  
Danie Venter ◽  
Wilma ten Ham-Baloyi ◽  
Portia Jordan
Keyword(s):  
Intensive Care ◽  
Endotracheal Tube ◽  
Educational Intervention ◽  
Cuff Pressure ◽  
Endotracheal Tube Cuff ◽  
Tube Cuff ◽  
Post Test ◽  
Quasi Experimental ◽  
Endotracheal Tube Cuff Pressure ◽  
Nurses Knowledge

Abstract Background Previous studies conducted on nurses’ knowledge regarding endotracheal tube cuff pressure revealed that there were differences in intensive care nurses’ knowledge, leading to varying practices. This study aimed to evaluate the effect of an educational intervention based on existing evidence-based guidelines, on the knowledge of nurses regarding managing endotracheal tube cuff pressures in Malawian intensive care units.Methods The study followed a quasi-experimental approach, with a pre- and post-test design using an educational intervention. Intensive care unit nurses were randomly assigned to two intervention groups. Both groups received a half-day educational session, a printed version of the evidence-based guidelines, a printed and laminated summary of the guidelines and a related algorithm. Additionally, Group 2 received four monitoring visits. Pre-and post-test questionnaires were conducted between February and August 2016. Descriptive and inferential data analysis (a chi-square test and t-test) were utilised.Results Knowledge on the nursing care practices for the management of endotracheal tube cuff pressure was improved for both groups following the educational intervention, although only the results comparing the Intervention 2 group participants’ indicate that the level of knowledge were significant (t(d.f.=48)=2.08, p=0.043, d=0.59).Conclusions The implementation of a formal training programme and mentorship programme for nurses working in the intensive care unit in Malawi would be of great benefit to equip nurses with adequate knowledge and skills for managing endotracheal tube cuff pressure. Follow-up studies would also assist in understanding how the implementation of guidelines could be done most effectively to achieve better knowledge outcomes among nurses concerning nursing care practices in this context.

The impact of routine intensive care procedures on the endotracheal tube cuff pressure

2016 ◽  
Author(s):  
Gordana Pavlisa ◽  
Hrvoje Puretic ◽  
Ervin Zuljevic ◽  
Andrea Vukic Dugac ◽  
Ana Hecimovic ◽  
...  
Keyword(s):  
Intensive Care ◽  
Endotracheal Tube ◽  
Cuff Pressure ◽  
Endotracheal Tube Cuff ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure ◽  
The Impact

scholarly journals Evaluation of Endotracheal Tube Cuff Pressure in Laparoscopic Cholecystectomy and Postoperative Sore Throat

2018 ◽  
Vol 15 (3) ◽  
pp. 282-285 ◽  
Author(s):  
Gajal Lakhe ◽  
Surendra Mohan Sharma
Keyword(s):  
Nitrous Oxide ◽  
Laparoscopic Cholecystectomy ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Cuff Pressure ◽  
Study Group ◽  
Endotracheal Tube Cuff ◽  
Postoperative Sore Throat ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure

Background: The use of nitrous oxide and carboperitoneum in laparoscopic cholecystectomy lead to increase in endotracheal tube cuff pressure. It may impair tracheal mucosal perfusion with subsequent tracheal damage. The purpose of this study was to evaluate cuff pressure and incidence of post-operative sore throat in patients undergoing laparoscopic cholecystectomy.Methods: In this prospective observational study, 128 patients aged 18-65 years of American Society of Anesthesiologist physical status I and II undergoing laparoscopic cholecystectomy were enrolled and allocated alternately into two groups, Study Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/nitrous oxide mixture; 40/60), Control Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/air mixture; 40/60) were analysed and comapared. Each group contained 64 patients. Aneroid manometer was used to monitor cuff pressure. Volume of air used to inflate the cuff, baseline cuff pressure, comparison of intraoperative cuff pressure and incidence of postoperative sore throat were measured.Results: The study results demonstrated higher cuff pressure in study group at all times after the creation of carboperitoneum (p=0.00) with increased incidence of sore throat(p=0.004).Conclusions: Increase in endotracheal tube cuff pressure was noted with the use of nitrous oxide in laparoscopic cholecystectomy with subsequent post-operative airway complication. Monitoring of cuff pressure is simple, noninvasive and efficient way of achieving therapeutic cuff pressure of 20-30 cm of H2O and thus recommends its use. 

Endotracheal tube cuff pressure in intensive care unit: the need for pressure monitoring

2007 ◽  
Vol 33 (5) ◽  
pp. 917-918 ◽  
Author(s):  
Samir Jaber ◽  
Moez El Kamel ◽  
Gérald Chanques ◽  
Mustapha Sebbane ◽  
Séverine Cazottes ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Endotracheal Tube ◽  
Cuff Pressure ◽  
Endotracheal Tube Cuff ◽  
Pressure Monitoring ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure
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