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
- 2021.11
- 수록면
- 374 - 379 (6page)
- DOI
- 10.4266/acc.2021.00024
이용수
초록· 키워드
오류제보하기
Background Mechanical ventilation is a lifesaving intervention for critically ill patients but can produce the major complication of ventilator-associated pneumonia (VAP). Inappropriately inflated endotracheal tubes cause potential harm due to high or low pressure; this can be prevented through monitoring protocols.
Methods A cross-sectional study of 348 cuff pressure readings was performed with intubated and mechanically ventilated patients to evaluate the exact proportion of patients in intensive care units (ICUs) where the cuff pressure is optimal and to identify the ICUs where device-based monitoring is available to produce a lower proportion of sub-optimal cuff pressure cases. Every three days, cuff pressure was assessed with a handheld cuff pressure manometer. The corresponding VAP rates of those ICUs were obtained from the hospital infection control department.
Results Cuff pressure of 40.2% was the lower cutoff for the high category, that of optimal was 35.3%, and the highest cutoff of sub-optimal was 24.4%. This study also showed ICUs that had cuff pressure monitoring devices and protocols. Active measurement protocols had a higher proportion of optimal cuff pressure (58.5%) and a lower proportion of sub-optimal and high cuff pressure (19.5% and 22.0%) compared to ICUs with no device-based monitoring protocols. Furthermore, the VAP rate of ICUs exhibited a weak positive correlation with sub-optimal cuff pressure.
Conclusions Device-based cuff pressure monitoring is essential in maintaining adequate cuff pressure but often is inadequate, resulting in high readings. Therefore, this study suggests that device-based cuff pressure monitoring be practiced.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Magill SS / 2018 / Changes in prevalence of health care-associated infections in U.S. hospitals / N Engl J Med 379:1732~1744
Haas CF / 2014 / Endotracheal tubes : old and new / Respir Care 59:933~952
Letvin A / 2018 / Frequent versus infrequent monitoring of endotracheal tube cuff pressures / Respir Care 63:495~501
Akdogan O / 2017 / Assessment of the effectiveness of a ventilator associated pneumonia prevention bundle that contains endotracheal tube with subglottic drainage and cuff pressure monitorization / Braz J Infect Dis 21:276~281
Hamilton VA / 2012 / The role of the endotracheal tube cuff in microaspiration / Heart Lung 41:167~172
Haas CF / 2014 / Endotracheal tubes : old and new / Respir Care 59:933~952
Letvin A / 2018 / Frequent versus infrequent monitoring of endotracheal tube cuff pressures / Respir Care 63:495~501
Akdogan O / 2017 / Assessment of the effectiveness of a ventilator associated pneumonia prevention bundle that contains endotracheal tube with subglottic drainage and cuff pressure monitorization / Braz J Infect Dis 21:276~281
Hamilton VA / 2012 / The role of the endotracheal tube cuff in microaspiration / Heart Lung 41:167~172
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