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
- 365 - 370 (6page)
이용수
초록· 키워드
오류제보하기
Background: Methods of determining proper endotracheal tube (ETT) cuff pressure to prevent air leakage include the minimal occlusive volume (MOV) technique, which uses auscultation, and the spirometer technique, which directly measures inspiratory and expiratory breathing volumes. Spirometers may measure even small air leakage, therefore, the spirometer technique requires a higher cuff pressure than the MOV technique to completely seal the airway. This study aimed to evaluate the difference in cuff pressure between the two techniques used to seal the airway.Methods: Thirty-five female patients were intubated using an ETT with a cuff, and cuff inflation was performed with both techniques at a 10-min interval in random order—the MOV technique and then the spirometer technique or vice versa. The cuff pressure was measured at each period.Results: The cuff pressures were 16.7 ± 1.2 cm H2O and 18.7 ± 1.3 cm H2O for the MOV and spirometer techniques, respectively. The cuff pressure for the spirometer technique was 2 cm H2O higher than that for the MOV technique and this difference was statistically significant (95% confidence interval, 0.7–3.3; P = 0.003). Considering the upper end (3.3 cm H2O) of the 95% confidence interval and the size of one scale unit (2 cm H2O) of a manometer, the difference in cuff pressure was up to 4 cm H2O in practice.Conclusions: Even though the air leakage sound disappears on auscultation, unlike the previous recommendation, the airway sealing would be completed only by increasing the cuff pressure by approximately 4 cm H2O.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Vyas D / 2002 / Measurement of tracheal tube cuff pressure in critical care / Anaesthesia 57:275~277
Mahul P / 1992 / Prevention of nosocomial pneumonia in intubated patients : respective role of mechanical subglottic secretions drainage and stress ulcer prophylaxis / Intensive Care Med 18:20~25
Mandøe H / 1992 / Sore throat after endotracheal intubation / Anesth Analg 74:897~900
Curiel García JA / 2001 / Cuff pressure in endotracheal intubation: should it be routinely measured? / Gac Med Mex 137:179~182
Hähnel J / 1993 / A comparison of different endotracheal tubes. Tracheal cuff seal, peak centering and the incidence of postoperative sore throat / Anaesthesist 42:232~237
Mahul P / 1992 / Prevention of nosocomial pneumonia in intubated patients : respective role of mechanical subglottic secretions drainage and stress ulcer prophylaxis / Intensive Care Med 18:20~25
Mandøe H / 1992 / Sore throat after endotracheal intubation / Anesth Analg 74:897~900
Curiel García JA / 2001 / Cuff pressure in endotracheal intubation: should it be routinely measured? / Gac Med Mex 137:179~182
Hähnel J / 1993 / A comparison of different endotracheal tubes. Tracheal cuff seal, peak centering and the incidence of postoperative sore throat / Anaesthesist 42:232~237
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