PMID: 8472570Apr 1, 1993Paper

Massive airway leaks: an analysis of the role of endotracheal tubes

Critical Care Medicine
R A Kearl, R G Hooper

Abstract

To determine the abnormalities present in endotracheal tubes removed from mechanically ventilated patients for "massive airleak." "Massive airleak" was defined as a leak that the attending physician felt was indicative of endotracheal tube defect such that extubation (and reintubation, if needed) would be indicated. Prospective, observational study. Mixed medical-surgical intensive care unit at a community teaching hospital. Seventeen patients among 1,082 patients who were undergoing mechanical ventilation during the study period. Authors were not involved in the evaluation of most airleak situations and most participating physicians were unaware of the study. All physicians involved were board certified in pulmonary, critical care, emergency medicine, or anesthesiology. Removed endotracheal tubes were grossly inspected and subjected to pneumatic stress to determine the sites of the leakage. Eighteen endotracheal tubes were examined over a 2-yr period. Of these tubes, 11 (61%) had no evidence of mechanical fault. Five (28%) tubes had defects in the tracheal cuff and two (11%) tubes had abnormalities of the pilot valve apparatus. Condensation within the pilot valve cuff was present in 14 of 18 tubes and was present in ten of 11 ...Continue Reading

Citations

Oct 1, 1995·Critical Care Medicine·G BernsteinG P Heldt
Mar 29, 2001·European Journal of Anaesthesiology·D Stack, D Harmon
Dec 1, 1995·Anesthesia and Analgesia·T A Gettelman, G N Morris
Oct 10, 1997·Anesthesia and Analgesia·B M LewerR S Henderson
Jun 8, 2013·Anesthesia and Analgesia·Mohammad El-Orbany, M Ramez Salem
Mar 20, 2010·Journal of Clinical Monitoring and Computing·Shai EfratiGabriel M Gurman
Jan 4, 2012·Journal of Clinical Monitoring and Computing·Shai EfratiGabriel M Gurman
Jul 1, 1997·Clinical Nurse Specialist CNS·J T CrimliskH W Farber
Sep 1, 1996·The Journal of Trauma·P Ciaglia

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