지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 402 - 408 (7page)
이용수
초록· 키워드
오류제보하기
Objective To determine the patterns of tracheostomy cuff pressure changes with various air inflation amounts in different types of tracheostomy tubes to obtain basic data for appropriately managing long-term tracheostomy. Methods We performed tracheostomy on a 46-year-old male cadaver. Three types of tracheostomy tubes (single-cuffed, double-cuffed, and adjustable flange), divided into 8 different subtypes based on internal tube diameters and cuff diameters, were inserted into the cadaver. Air was inflated into the cuff, and starting with 1 mL air, the cuff pressure was subsequently measured using a manometer. Results For the 7.5 mm/14 mm tracheostomy tube, cuff inflation with 3 mL of air yielded a cuff pressure within the recommended range of 20?30 cmH2O. The 7.5 mm/24 mm tracheostomy tube showed adequate cuff pressure at 5 mL of air inflation. Similar values were observed for the 8.0 mm/16 mm and 8.0 mm/27 mm tubes. Double-cuffed tracheostomy cuff pressures (7.5 mm/20 mm and 8.0 mm/20 mm tubes) at 3 mL air inflation had cuff pressures of 18?20 cmH2O at both the proximal and distal sites. For the adjustable flange tracheostomy tube, cuff pressure at 6 mL of cuff air inflation was within the recommended range. Maximal cuff pressure was achieved at inflation with almost 14 mL of air, unlike other tube types. Conclusion Various types of tracheostomy tubes showed different cuff pressures after inflation. These values might aid in developing guidelines For patients who undergo tracheostomy and are discharged home without cuff pressure manometers, this standard might be helpful to develop guidelines.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Sengupta P / 2004 / Endotracheal tube cuff pressure in three hospitals, and the volume required to produce an appropriate cuff pressure / BMC Anesthesiol 4:8
Braz JR / 1999 / Endotracheal tube cuff pressure : need for precise measurement / Sao Paulo Med J 117:243~247
Stauffer JL / 1981 / Complications and consequences of endotracheal intubation and tracheotomy : a prospective study of 150 critically ill adult patients / Am J Med 70:65~76
Leigh JM / 1979 / Pressure on the tracheal mucosa from cuffed tubes / Br Med J 1:1173~1174
Nordin U / 1977 / The trachea and cuff-induced tracheal injury : an experimental study on causative factors and prevention / Acta Otolaryngol Suppl 345:1~71
Braz JR / 1999 / Endotracheal tube cuff pressure : need for precise measurement / Sao Paulo Med J 117:243~247
Stauffer JL / 1981 / Complications and consequences of endotracheal intubation and tracheotomy : a prospective study of 150 critically ill adult patients / Am J Med 70:65~76
Leigh JM / 1979 / Pressure on the tracheal mucosa from cuffed tubes / Br Med J 1:1173~1174
Nordin U / 1977 / The trachea and cuff-induced tracheal injury : an experimental study on causative factors and prevention / Acta Otolaryngol Suppl 345:1~71
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