The accurate measurement of endotracheal tube cuff pressures

British Journal of Nursing : BJN
C Ganner

Abstract

The effects of endotracheal tube cuff pressure upon the tracheal wall is well documented and researched. Hyperinflation causes mucosal damage subsequent to restricted capillary blood flow (Seegobin and Hasselt, 1984), and underinflation increases aspiration risk (Bernard et al, 1979). There are critical care areas with no method of obtaining accurately cuff pressure other than adopting the minimal occlusion technique, i.e. inserting just enough air into the cuff to prevent air leakage. Although this is a useful method for obtaining an adequate seal, it does not safeguard against hyperinflation. The aim of this study was to demonstrate that without accurate measurement of intracuff pressures of endotracheal tubes, pressure will be outside the normal recommended limits, which could place patients at risk. Accurate measurements of cuff pressures post cardiac surgery were recorded using a Malincrodt pressure gauge. Theatre staff and intensive care unit nursing staff were unaware of the study until its completion. It is concluded that cuff pressures are too high using the minimal occlusion technique and the cuffs are prone to leaking.

References

Oct 1, 1977·Archives of Surgery·R H Stewardson, L M Nyhus
Apr 1, 1979·Anesthesiology·W N BernhardH Turndorf
May 1, 1977·American Journal of Surgery·P Dobrin, T Canfield
Feb 1, 1974·Annals of Surgery·N P ChingT F Nealon
Dec 1, 1965·Annals of Surgery·W Silen, D Spieker
May 1, 1996·Heart & Lung : the Journal of Critical Care·J T CrimliskB Marino
Jan 1, 1997·Critical Care Medicine·D C GuytonT R Besselievre
Jun 26, 1998·Journal of Clinical Monitoring and Computing·N A WilderD Westenskow

❮ Previous
Next ❯

Citations

Sep 8, 2011·Journal of Anaesthesiology, Clinical Pharmacology·Mukul Kumar Jain, Chander Bushan Tripathi
Oct 28, 2009·The American Journal of Emergency Medicine·Robert J HoffmanThomas Scalea
Jul 4, 2008·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Louise Rose, Leanne Redl
Nov 29, 2015·Brazilian Journal of Anesthesiology·Bülent Serhan YurtluIşıl Özkoçak Turan
Dec 15, 2015·Revista brasileira de anestesiologia·Bülent Serhan YurtluIşıl Özkoçak Turan
Nov 12, 2005·Chronic Respiratory Disease·J E Heffner
Dec 17, 2008·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Marta João SilvaAugusto Ribeiro
Apr 6, 2012·Journal of Perioperative Practice·James A Meachin
Dec 15, 2011·Journal of Perioperative Practice·Pervez SultanRoman Cregg
Jul 7, 2007·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Vivek ParwaniIn-Hei Hahn
Jul 30, 2021·ACS Applied Materials & Interfaces·Kirthika Senthil KumarHongliang Ren

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Revista brasileira de anestesiologia
Ernesto Leonardo Cárpio PeñaLígia Andrade da Silva Telles Mathias
São Paulo Medical Journal = Revista Paulista De Medicina
Laís Helena Camacho NavarroNorma Sueli Pinheiro Módolo
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Sirinthip SridermmaVisanu Thamlikitkul
© 2022 Meta ULC. All rights reserved