scholarly journals Intraoperative cuff pressure measurements of endotracheal tubes in the operating theater: A prospective audit

2021 ◽  
Vol 5 (3) ◽  
pp. 174
Author(s):  
André van Zundert ◽  
Julie Lee ◽  
Heather Reynolds
Keyword(s):  
Cuff Pressure ◽  
Pressure Measurements ◽  
Prospective Audit ◽  
Operating Theater ◽  
Endotracheal Tubes

scholarly journals Increases in Cuff Volume and Pressure in Red Rubber Endotracheal Tubes during Anaesthesia

1979 ◽  
Vol 7 (2) ◽  
pp. 152-157 ◽  
Author(s):  
W. R. Thompson ◽  
T. E. Oh
Keyword(s):  
Nitrous Oxide ◽  
Cuff Pressure ◽  
Intermittent Positive Pressure Ventilation ◽  
Spontaneous Respiration ◽  
Oxygen Mixture ◽  
Positive Pressure ◽  
Cuff Volume ◽  
Endotracheal Tubes ◽  
Nitrous Oxide Oxygen ◽  
Pressure Changes

Increases in endotracheal tube cuff volume and pressure during anaesthesia have been reported to be due to the diffusion of nitrous oxide into the cuff. This study compared cuff volume and pressure changes in anaesthetized intubated patients who were ventilated with those allowed to breath spontaneously. The cuffs of Magill red rubber endotracheal tubes were inflated with either air or a nitrous oxide-oxygen mixture. Serial pressure and volume recordings confirmed that both parameters increased when the cuff was inflated with air. The increase in cuff pressure was however, greater during intermittent positive pressure ventilation than for spontaneous respiration. There were no significant changes when the cuff was inflated with the nitrous oxide-oxygen mixture.

scholarly journals Effectiveness and safety of endotracheal tube cuffs filled with air versus filled with alkalinized lidocaine: a randomized clinical trial

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 ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Sore Throat ◽  
Cuff Pressure ◽  
Systolic Arterial Pressure ◽  
Tracheal Extubation ◽  
Prospective Clinical Study ◽  
Intracuff Pressure ◽  
Endotracheal Tubes ◽  
Oxide Anesthesia ◽  
De Medicina

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.

Cuffed endotracheal tubes in infants and children: Should we routinely measure the cuff pressure?

2012 ◽  
Vol 76 (1) ◽  
pp. 61-63 ◽  
Author(s):  
Joseph D. Tobias ◽  
Lawrence Schwartz ◽  
Julie Rice ◽  
Kris Jatana ◽  
D. Richard Kang
Keyword(s):  
Cuff Pressure ◽  
Infants And Children ◽  
Endotracheal Tubes ◽  
In Infants And Children

Comparison of endotracheal cuff pressure measurements before and after nursing care in emergency patients: pilot balloon palpation

2018 ◽  
Author(s):  
Nahla Shaaban Khalil ◽  
Warda Youssef Morsy ◽  
Reham Ahmed Salama Mohamed Soliman Sayed
Keyword(s):  
Nursing Care ◽  
Cuff Pressure ◽  
Pressure Measurements ◽  
Emergency Patients ◽  
Pilot Balloon ◽  
Before And After

scholarly journals Bi-national survey of intraoperative cuff pressure monitoring of endotracheal tubes and supraglottic airway devices in operating theatres

2019 ◽  
Vol 47 (4) ◽  
pp. 378-384 ◽  
Author(s):  
Julie Lee ◽  
Heather Reynolds ◽  
Anita M Pelecanos ◽  
André AJ van Zundert
Keyword(s):  
New Zealand ◽  
Cuff Pressure ◽  
Public Hospitals ◽  
Supraglottic Airway ◽  
Intracuff Pressure ◽  
Pressure Monitoring ◽  
Endotracheal Tubes ◽  
Supraglottic Airway Devices ◽  
Zealand College ◽  
Airway Devices

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.

The myth of endotracheal tube (ETT) cuff pressure measurements

1995 ◽  
Vol 8 (1) ◽  
pp. 32
Author(s):  
Karen Warnecke ◽  
Denise Fitzpatrick ◽  
Judy Leahy ◽  
Jack Cade ◽  
David Ernest
Keyword(s):  
Endotracheal Tube ◽  
Cuff Pressure ◽  
Pressure Measurements

Pseudohypertension in Sinoaortic-Denervated Rats

1980 ◽  
Vol 59 (s6) ◽  
pp. 303s-306s ◽  
Author(s):  
R. A. Norman ◽  
T. G. Coleman ◽  
Ann C. Dent
Keyword(s):  
Mean Arterial Pressure ◽  
Data Collection ◽  
Arterial Pressure ◽  
Cuff Pressure ◽  
Aortic Pressure ◽  
Control Group ◽  
Pressure Measurements ◽  
Pressure Monitoring ◽  
Mean Aortic Pressure ◽  
Tail Cuff

1. Mean arterial pressure was determined continuously over a 24-h period by computerized data collection in eight control and nine sinoaortic-denervated rats housed in standard-sized metabolic cages. In addition, direct and indirect pressure measurements were made while the rats were resting in a Lucite restrainer. 2. Pressure measurements made during restraint indicated that the baroreceptor-denervated rats were hypertensive: mean aortic pressure averaged 145 ± 3.4 mmHg (mean ± sem) in denervated rats vs 119 ± 2.8 mmHg in control rats (P&lt;0.001), and tail-cuff pressure averaged 156 ± 5.4 mmHg compared with 121 ± 2.7 mmHg in the control group (P&lt;0.001). 3. In contrast, continuous pressure monitoring showed the sinoaortic-denervated rats were normotensive (mean arterial pressure averaged 119 ± 4.7 mmHg vs 119 ± 3.1 mmHg in control rats). 4. Apparently arterial pressure is elevated during restraint in sinoaortic-denervated rats and pressure measurements made under these conditions give a false indication of hypertension.

scholarly journals Tekanan Cuff Endotracheal Tube (ETT) Pada Pasien Terintubasi Di Intensive Care Unit

2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Setiyawan Setiyawan ◽  
S Dwi Sulisetyawati
Keyword(s):  
Intensive Care ◽  
Cuff Pressure ◽  
Descriptive Study ◽  
Intracuff Pressure ◽  
Pressure Measurements ◽  
Pressure Monitoring ◽  
Monitoring Method ◽  
Periodic Monitoring ◽  
Cuff Inflator ◽  
Risk Of Aspiration

Backgound: Inaccuracy granting ETT cuff pressure can cause a risk of complications that increase the risk of aspiration and trauma to the trachea. Cuff management includes cuff development techniques and intracuff pressure monitoring is a critical component in the treatment of ETT intubated patients in intensive care. The aim of this study was to find out the description of ETT treatment especially on intracuff pressure monitoring. Method: The research methods is a descriptive study in 30 intubated patients in the intensive room of Bagas Waras Klaten Hospital. Result: Based on observations 4 (four) hours after ETT cuff development using cuff inflator, the average results of initial ETT cuff pressure measurements were 28 cmH2O ± 17.43, then after four hours 19.63 cmH2O ± 17.43. In conclusion, ETT cuff development using a cuff inflator will tend to decrease intracuff pressure. Conclusion: Periodic monitoring of intracuff pressure is needed to achieve optimal pressure so there are no complications caused by underinflation or overinflation.

Cuff Pressure Measurements

CHEST Journal ◽  
1974 ◽  
Vol 66 (5) ◽  
pp. 604-605 ◽  
Author(s):  
Nathaniel Ching ◽  
Thomas F. Nealon
Keyword(s):  
Cuff Pressure ◽  
Pressure Measurements
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