Endotracheal tube cuff pressure monitoring during neurosurgery - Manual vs. automatic method.

作者: MukulKumar Jain , ChanderBhushan Tripathi

DOI: 10.4103/0970-9185.83682

关键词: NeurosurgeryTracheomalaciaAirwayEndotracheal tube cuffAnesthesiaTracheal StenosisMedicineLaryngomalaciaSurgeryTracheoesophageal fistulaVentilation (architecture)

摘要: Background: Inflation and assessment of the endotracheal tube cuff pressure is often not appreciated as a critical aspect intubation. Appropriate pressure, intubation seals airway to prevent aspiration provides for positive-pressure ventilation without air leak. Materials Methods: Correlations between manual methods assessing by an experienced anesthesiologists with maintenance within normal range automated controller device were studied in 100 patients divided into two groups. In Group M, was inflated manually trained anesthesiologist checked its hourly monitor till end surgery. C, maintained at 25-cm H 2 O throughout surgeries. Repeated measure ANOVA applied. Results: results showed that average 50 taken seven different points significantly (F-value: 171.102, P-value: 0.000). Bonferroni correction test shows all six groups are from constant group (P = No case laryngomalacia, tracheomalacia, tracheal stenosis, tracheoesophageal fistula or pneumonitis observed. Conclusions: Endotracheal high when manually. The known complications can be avoided if used cannot relied upon keeping recommended levels.

参考文章(13)
T C Lien, J H Wang, Incidence of pulmonary aspiration with different kinds of artificial airways National Medical Journal of China. ,vol. 49, pp. 348- 353 ,(1992)
Barbara R Norwood, Janet A Secrest, Richard Zachary, Scott L Stewart, A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA journal. ,vol. 71, pp. 443- ,(2003)
Papiya Sengupta, Daniel I Sessler, Paul Maglinger, Spencer Wells, Alicia Vogt, Jaleel Durrani, Anupama Wadhwa, Endotracheal tube cuff pressure in three hospitals, and the volume required to produce an appropriate cuff pressure BMC Anesthesiology. ,vol. 4, pp. 8- 8 ,(2004) , 10.1186/1471-2253-4-8
Hans Mand??e, Lone Nikolajsen, Uffe Lintrup, Dorte Jepsen, J??rgen M??lgaard, Sore throat after endotracheal intubation. Anesthesia & Analgesia. ,vol. 74, pp. 897- 900 ,(1992) , 10.1213/00000539-199206000-00020
Catherine Ganner, The accurate measurement of endotracheal tube cuff pressures. British journal of nursing. ,vol. 10, pp. 1127- 1134 ,(2001) , 10.12968/BJON.2001.10.17.9952
William N. Bernhard, Leon Yost, Donnie Joynes, Steven Cothalis, Herman Turndorf, Intracuff pressures in endotracheal and tracheostomy tubes. Related cuff physical characteristics. Chest. ,vol. 87, pp. 720- 725 ,(1985) , 10.1378/CHEST.87.6.720
U. Nordin, C.-E. Lindholm, M. Wolgast, Blood Flow in the Rabbit Tracheal Mucosa under Normal Conditions and under the Influence of Tracheal Intubation Acta Anaesthesiologica Scandinavica. ,vol. 21, pp. 81- 94 ,(1977) , 10.1111/J.1399-6576.1977.TB01198.X
Douglas C. Guyton, Michael R. Barlow, Todd R. Besselievre, Influence of airway pressure on minimum occlusive endotracheal tube cuff pressure Critical Care Medicine. ,vol. 25, pp. 91- 94 ,(1997) , 10.1097/00003246-199701000-00018
José Reinaldo Cerqueira Braz, Lais Helena Camacho Navarro, Ieda Harumi Takata, Paulo Nascimento Júnior, Endotracheal tube cuff pressure: need for precise measurement Sao Paulo Medical Journal. ,vol. 117, pp. 243- 247 ,(1999) , 10.1590/S1516-31801999000600004