Variations in endotracheal cuff pressure in intubated critically ill patients: Prevalence and risk factors

European Journal of Anaesthesiology

Volumn 26, Issue 3, 2009, Pages 229-234

  Nseir, Saad ^a,b   Brisson, Hélène ^a   Marquette, Charles Hugo ^c   Chaud, Pascal ^a   Pompeo, Christophe Di ^b   Diarra, Maimouna ^a   Durocher, Alain ^a,b  

^a LILLE UNIVERSITY HOSPITAL   (France)

^b UNIV LILLE   (France)

^c PASTEUR HOSPITAL   (France)

Author keywords

Complications; Endotracheal cuff pressure; Intubation; Overinflation; Risk factors; Underinflation

Indexed keywords

ADULT; AIRWAY PRESSURE; ARTICLE; CONTROLLED STUDY; CRITICALLY ILL PATIENT; ENDOTRACHEAL CUFF; ENDOTRACHEAL TUBE; FEMALE; HUMAN; HYPOBARISM; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; OBSERVATIONAL STUDY; PREVALENCE; PROSPECTIVE STUDY; RISK FACTOR; SEDATION; UNIVARIATE ANALYSIS; CRITICAL ILLNESS; ENDOTRACHEAL INTUBATION; INTENSIVE CARE; METHODOLOGY; MIDDLE AGED; PRESSURE; STATISTICS; TREATMENT OUTCOME;

CRITICAL CARE; CRITICAL ILLNESS; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; PRESSURE; PREVALENCE; RISK FACTORS; TREATMENT OUTCOME;

EID: 65349150556     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0b013e3283222b6e     Document Type: Article

References (24)

1. Jaber S, Amraoui J, Lefrant JY, et al. Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Crit Care Med 2006; 34: 2355-2361.
2. Niederman MS, Craven DE. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005; 171: 388-416.
3. Vyas D, Inweregbu K, Pittard A. Measurement of tracheal tube cuff pressure in critical care. Anaesthesia 2002; 57: 275-277.
4. Sierra R, Benitez E, Leon C, et al. Prevention and diagnosis of ventilatorassociated pneumonia: a survey on current practices in Southern Spanish ICUs. Chest 2005; 128: 1667-1673.
5. Jaber S, El Kamel M, Chanques G, et al. Endotracheal tube cuff pressure in intensive care unit: the need for pressure monitoring. Intensive Care Med 2007; 33: 917-918.
6. Mol DA, De Villiers GT, Claassen AJ, et al. Use and care of an endotracheal/tracheostomy tube cuff - are intensive care unit staff adequately informed? S Afr J Surg 2004; 42: 14-16.
7. Rose L, Redl L. Survey of cuff management practices in intensive care units in Australia and New Zealand. Am J Crit Care 2008; 17: 428-435.
8. Conti M, Pougeoise M, Wurtz A, et al. Management of postintubation tracheobronchial ruptures. Chest 2006; 130: 412-418.
9. Ulrich-Pur H, Hrska F, Krafft P, et al. Comparison of mucosal pressures induced by cuffs of different airway devices. Anesthesiology 2006; 104: 933-938.
10. Seegobin RD, van Hasselt GL. Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs. Br Med J (Clin Res Ed) 1984; 288: 965-968.
11. Rello J, Sonora R, Jubert P, et al. Pneumonia in intubated patients: role of respiratory airway care. Am J Respir Crit Care Med 1996; 154: 111-115.
12. Duguet A, D'Amico L, Biondi G, et al. Control of tracheal cuff pressure: a pilot study using a pneumatic device. Intensive Care Med 2007; 33: 128-132.
13. Dejonckheere J, Logier R, Dassonneville A, et al. PhysioTrace: an efficient toolkit for biomedical signal processing. Conf Proc IEEE Eng Med Biol Soc 2005; 7: 6739-6741.
14. Ramsay MA, Savege TM, Simpson BR, et al. Controlled sedation with alphaxalone-alphadolone. Br Med J 1974; 2: 656-659.
15. Le Gall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 1993; 270: 2957-2963.
16. Valencia M, Ferrer M, Farre R, et al. Automatic control of tracheal tube cuff pressure in ventilated patients in semirecumbent position: a randomized trial. Crit Care Med 2007; 35: 1543-1549.
17. Metheny NA, Clouse RE, Chang YH, et al. Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: frequency, outcomes, and risk factors. Crit Care Med 2006; 34: 1007-1015.
18. Thille AW, Rodriguez P, Cabello B, et al. Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 2006; 32: 1515-1522.
19. Bosma K, Ferreyra G, Ambrogio C, et al. Patient-ventilator interaction and sleep in mechanically ventilated patients: pressure support versus proportional assist ventilation. Crit Care Med 2007; 35: 1048-1054.
20. Guyton DC, Barlow MR, Besselievre TR. Influence of airway pressure on minimum occlusive endotracheal tube cuff pressure. Crit Care Med 1997; 25: 91-94.
21. Sole ML, Aragon D, Bennett M, et al. Continuous measurement of endotracheal tube cuff pressure: how difficult can it be? AACN Adv Crit Care 2008; 19: 235-243.
22. Godoy AC, Vieira RJ, Capitani EM. Endotracheal tube cuff pressure alteration after changes in position in patients under mechanical ventilation. J Bras Pneumol 2008; 34: 294-297.
23. Farre R, Rotger M, Ferre M, et al. Automatic regulation of the cuff pressure in endotracheally-intubated patients. Eur Respir J 2002; 20: 1010-1013.
24. Nseir S, Duguet A, Copin MC, et al. Continuous control of endotracheal cuff pressure and tracheal wall damage: a randomized controlled animal study. Crit Care 2007; 11: R109.