ASSESSING CORRELATION OF ENDOTRACHEAL TUBE CUFF PRESSURE BETWEEN ESTIMATION TECHNIQUES AND DIRECT CUFF PRESSURE MEASUREMENT BY ANAEROID MANOMETER-A PROSPECTIVE OBSERVATIONAL STUDY
Abstract
6. AIM AND OBJECTIVES OF STUDY:
AIM:
To correlate the endotracheal tube cuff pressures attained by
estimation techniques and direct cuff pressure measurement.
OBJECTIVES OF THE STUDY:
PRIMARY OBJECTIVE:
Is to assess the cuff pressure attained by estimation techniques with the
help of anaeroid manometer.
SECONDARY OBJECTIVE:
To assess correlation between endotracheal tube cuff pressure and cuff
volume.
7. MATERIAL AND METHODS:
7.1) STUDY DESIGN:
This is human based, clinical, observational and longitudinal, single
center, open, Institutional based prospective study.
Full Text:
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Mehta S, Mickiewicz M. Pressure in large volume, low pressure cuffs: its significance, measurement and regulation. Intensive Care Med. 1985; 11(267-72).
Yildirim Z, Uzunkoy A, Cigdem A, Ganidagli S, Ozgonul A. Changes in cuff pressure of endotracheal tube during laparoscopic and open abdominal surgery. Surgical Endoscopy. 2011; 26 (2):398-401.
Brimacombe J, Keller C, Giampalmo M, Sparr H, Berry A. Direct measurement of mucosal pressures exerted by cuff and non-cuff portions of tracheal tubes with different cuff volumes and head and neck positions. British Journal of Anaesthesia.1999; 82 (5):708-711.
Bernhard W, Yost L, Joynes D, Cothalis S, Turndorf H. Intracuff pressures in endotracheal and tracheostomy tubes. Related cuff physical characteristics. Chest.1985 Jun; 87(6): 720–725.
Sengupta P, Sessler DI, Maglinger P, et al. Endotracheal tube cuff pressure in three hospitals, and the volume required to produce an appropriate cuff pressure. BMC Anaesthesiology. 2004; 4: 8.
Mitchell V, Adam T, Calder I. Choice of cuff inflation medium during nitrous oxide anaesthesia. Anaesthesia. 1999; 54 (1):32-36.
Saleh Moghaddam AR, Malekzade J, Mesbahi Z, Esmaeli H. Relationship between Temperature and Cuff Pressure in Mechanically Ventilated Patients with Endotracheal Tube. Quarterly of the Horizon of Med Sci. 2013; 19(2):105-9
Mann C, Parkinson N, Bleetman A. Endotracheal tube and laryngeal mask airway cuff volume changes with altitude: a rule of thumb for aeromedical transport. Emergency Medicine Journal. 2007; 24 (3):165-167
Black A, Seegobin R. Pressures on endotracheal tube cuffs. Anaesthesia. 1981; 36(5):498-511.
Lewis F, Schlobohm R, Thomas A. Prevention of Complications from Prolonged Tracheal Intubation. Survey of Anaesthesiology. 1979; 23 (2):91.
Seegobin RD, van Hasselt GL. Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs. British Medical Journal (Clinical research ed). 1984; 288(6422):965-968.
Stewart SL, Secrest JA, Norwood BR, Zachary R. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA J 2003; 71: 443-447.
Stoelting RK, Miller RD. Basics of Anaesthesia. 3rd ed. Philadelphia, Pa: Churchill-Livingstone; 2000.
O’Donnell JH. Orotracheal tube intra-cuff pressure initially and during anaesthesia including nitrous oxide. CRNA: Clin Forum Nurse Anaesthetists. 1995; 6: 79-85.
Morgan GE Jr, Mikhail MS. Clinical anaesthesiology. 2nd edition. Stanford, Conn: Appleton and Lange; 1966
Nordin U: The trachea and cuff induced tracheal injury: An experimental study on causative factors and prevention. Acta Otolaryngol 1976; 345(suppl 345): 1–7.
Bensaid S,Duvaldestin P,lieutaud T,menival V,saidi N,N20 increases endotracheal tube cuff pressures and the incidence of tracheal lesion 1999;89:187-190.
Mandor H,nikolajsen L,lintrup U.sore throat after intubation,anesth analg.1992;74;897
Lizy C, Swinnen W, Labeau S, Poelaert J, Vogelaers D, Vandewoude K, et al. Cuff Pressure of Endotracheal Tubes After Changes in Body Position in Critically Ill Patients Treated With Mechanical Ventilation. Am J Crit Care. 2014; 23(1): e 1-8.
Hess DR. Managing the artificial airway. Respir Care. 1999; 44: 759-771.
Fernandez R, Blanch L, Mancebo J, Bonsoms N, Artigas A Endotracheal tube cuff pressure assessment: pitfalls of finger estimation and need for objective measurement. Crit Care Med. 1990:18(12):1423-1426
Combes X, Schauvliege F, Peyrouset O, Motamed C, Kirov K, Dhonneur G et al. Intracuff Pressure and Tracheal Morbidity: influence of filling with saline during nitrous oxide anaesthesia. Anaesthesiology. 2001; 95 (5):1120-1124.
Stanley T. Nitrous Oxide and Pressures and Volumes of High- and Low pressure Endotracheal-tube Cuffs in Intubated Patients. Anaesthesiology. 1975; 42 (5):637-640.
Bernhard W, Yost L, Turndorf H, Cottrell J, Paegle R. Physical Characteristics of and Rates of Nitrous Oxide Diffusion into Tracheal Tube Cuffs. Anaesthesiology. 1978; 48(6):413-417.
Stock CR. What is past is prologue: a short history of the development of tracheostomy. Ear Nose Throat J. 1987; 66 (4):166-169.
Riley E, DeGroot K, Hannallah M. The high-pressure characteristics of the cuff of the intubating laryngeal mask endotracheal tube. Anesth Analg. 1999; 89 (6):15-88.
Godoy AC, Vieira RJ, Capitani EM 2008 Endotracheal tube Cuff Pressure alteration after changes in position in patients under mechanical ventilation. J Brasilerio de Pnemologia 2008 May; 34 (5): 294-297.
Wilder NA, Orr J, Westenskow D. Evaluation in animals of a system to estimate tracheal pressure from the endotracheal tube cuff. J Clin Monit. 1996 Jan; 12(1):11-6.
Braz JR, Navarro LH, Takata IH, Nascimento Junior P. Endotracheal tube cuff pressure: need for precise measurement. Sao Paulo Med J.1999 Nov 4; 117(6):243- 247
Wu C, Yeh Y, Wang M, Lai C, Fan S. Changes in endotracheal tube cuff pressure during laparoscopic surgery in head-up or head-down position. BMC Anesthesiology.2014; 14 (1):1-6
Pollard R, Lobato E. Endotracheal Tube Location Verified Reliably by Cuff Palpation. Anaesthesia & Analgesia. 1995; 81 (1):135-138.
Hoffman RJ, Parwani V, Hahn IH. Experienced emergency medicine physicians cannot inflate or estimate endotracheal tube cuff pressure using standard techniques. Am J Emerg Med. 2006; 24(2):139-143.
Shin H, Kim D, Yoo H, Lee D, Yoo Y, Lim C. Changes in cuff pressure and position of cylindrical-cuff and tapered-cuff tracheal tubes during laparoscopic abdominal surgery. Journal of International Medical Research. 2015; 43 (4):544-554.
Svenson JE, Lindsay MB, O’Connor JE. Endotracheal Intracuff Pressures in the ED and Prehospital Setting: Is There a Problem? Am J Emerg Med. 2007; 25: 53–56.
Foroughi V, Sripada R. A965 Sensitivity of Tactile Examination of Endotracheal Tube Intra-Cuff Pressure. Anesthesiology.1997; 87(Supplement):965A.
Jain M, Tripathi C. Endotracheal tube cuff pressure monitoring during neurosurgery - Manual vs. automatic method. J Anaesth Clin Pharmacol. 2011; 27 (3):358-361.
Ganner C. The accurate measurement of endotracheal tube cuff pressures. British Journal of Nursing. 2001; 10(17):1127-1134.
Goyal R, Kumar G, Waghray M. Endotracheal tube cuff pressure monitoring in peripheral hospitals. Medical Journal Armed Forces India. 2006; 62 (3):243- 245.
Bouvier JR Measuring tracheal tube cuff pressures--tool and technique Heart and Lung 1981; 10 (4): 686-690.
Willis B, Latto I, Dyson A. Tracheal tube cuff pressure. Clinical use of the Cardiff cuff controller. Anaesthesia. 1988; 43 (4):312-314.
Abdelatti M, Kamath B. A cuff inflator for tracheal tubes. Anaesthesia. 1997; 52 (8):765-769.
Farre R, Rotger M, Ferrer M, Torres A, Navajas D. Automatic regulation of the cuff pressure in endotracheal-intubated patients. European Respiratory Journal.2002; 20 (4):1010-1013.
Pelc P, Prigogie T, Bisschop P, Jortay A. Tracheoesophageal fistula: case report and review of literature. Acta Oto-Rhino-Laryngologica Belgica. 2001; 55 (4):273-278.
Tyler D, Clark A, Ogburn-Russell L. Developing a Standard For Endotracheal Tube Cuff Care. Dimensions of Critical Care Nursing. 1991; 10 (2):54-61.
Lomholt N A device for measuring the lateral wall cuff pressure of endotracheal tubes Acta Anaesthesiologica Scandinavica. 1992; 36 (8): 775-778
Suzuki N, Kooguchi K, Mizobe T, Hirose M, Takano Y, Tanaka Y. Postoperative hoarseness and sore throat after tracheal intubation: effect of a low intracuff pressure of endotracheal tube and the usefulness of cuff pressure indicator [in Japanese] Masui. 1999; 48: 1091–1095.
Sajedi P, Marooffi V. The macroscopic changes of tracheal mucosa following tight vs loose control of tracheal tube cuff pressure. Acta Anaesthesiol.2002; (Suppl 40): 117S–120S
Trivedi L, Jha P, Bajiya NR, Tripathi D C. We should care more about intracuff pressure: The actual situation in government sector teaching hospital. Indian J Anaesth 2010; 54: 314-317.
O J, Zhang X, Gong W, Li S, Wang F, Fu S et al. Correlations Between Controlled Endotracheal Tube Cuff Pressure and Post procedural Complications. Anaesthesia Analgesia. 2010; 111 (5):1133-1137.
Al-Metwalli RR, Al-Ghamdi AA, Mowafi HA, Sadek S, Abdulshafi M, Mousa WF. Is sealing cuff pressure, easy, reliable and safe technique for endotracheal tube cuff inflation? A comparative study. Saudi J Anaesth. 2011 Apr; 5(2):185-189.
Ozer AB, Demirel I, Gunduz G, Erhan OL. Effects of user experience and method in the inflation of endotracheal tube pilot balloon on cuff pressure. Niger J Clin Pract. 2013 Apr-Jun; 16 (2):253-257.
Harm F, Zuercher M, Bassi M, Ummenhofer W. Prospective observational study on tracheal tube cuff pressures in emergency patients– is neglecting the problem the problem? Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2013; 21: 83.
Mukul Kumar Jain, Chander Bushan Tripathi .Endotracheal tube cuff pressure monitoring during neurosurgery - Manual vs. automatic method. J Anaesthesiol Clin Pharmacol. 2011 Jul-Sep; 27(3): 358–361.
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