Endotracheal tube and laryngeal mask airway cuff pressures can exceed critical values during ascent to higher altitude

Pediatric Emergency Care

Volumn 27, Issue 5, 2011, Pages 367-370

  Miyashiro, Renee M ^a   Yamamoto, Loren G ^a  

^a UNIVERSITY OF HAWAII   (United States)

Author keywords

air transport; endotracheal tube; endotracheal tube cuff pressure; laryngeal mask airway; laryngeal mask airway cuff pressure

Indexed keywords

AIR MEDICAL TRANSPORT; AIR TEMPERATURE; AIRWAY PRESSURE; ALTITUDE; ARTICLE; ATMOSPHERIC PRESSURE; CUFF; ENDOTRACHEAL TUBE; LARYNGEAL MASK; MANOMETER; PRESSURE MEASUREMENT;

AIR PRESSURE; ALTITUDE; CHILD; HUMANS; INTUBATION, INTRATRACHEAL; LARYNGEAL MASKS; LARYNGEAL MUCOSA; PHARYNX; PRESSURE;

EID: 79955817731     PISSN: 07495161     EISSN: None     Source Type: Journal    
DOI: 10.1097/PEC.0b013e318216b0d0     Document Type: Article

References (10)

1. Henning J, Sharley P, Young R. Pressures within air-filled tracheal cuffs at altitudeVan in vivo study. Anaesthesia. 2004;59:252-254. (Pubitemid 38263256)
2. Seegobin RD, vanHasselt GL. Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs. Br Med J. 1984;288:965-968. (Pubitemid 14115350)
3. Crawley BE, Cross DE. Tracheal cuffs. A review and dynamic pressure study. Anaesthesia. 1975;30:4-11.
4. Nseir S, Brisson H, Marquette C, et al. Variations in endotracheal cuff pressures in intubated critically ill patients: prevalence and risk factors. Eur J Anaesthesiol. 2009;26:229-234.
5. Mann C, Parkinson N, Bleetman A. Endotracheal tube and laryngeal mask airway cuff volume changes with altitude: a rule of thumb for aeromedical transport. Emerg Med J. 2007;24:165-167. (Pubitemid 46562775)
6. Weiss M, Dullenkepf A, Fischer JE, et al. European Paediatric Endotracheal Intubation Study Group. Prospective randomized controlled multi-centre trial of cuffed or uncuffed endotracheal tubes in small children. Br J Anaesth. 2009;103:867-873.
7. Newth CJ, Rachman B, Patel N, et al. The use of cuffed versus uncuffed endotracheal tubes in pediatric intensive care. J Pediatr. 2004;144:333-337. (Pubitemid 38333890)
8. Stewart SL, Secrest JA, Norwood BR, et al. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA J. 2003;71:443-447. (Pubitemid 37523375)
9. Svenson JE, Lindsay MB, O'Connor JE. Endotracheal intracuff pressures in the ED and prehospital setting: is there a problem? Am J Emerg Med. 2007;25:53-56. (Pubitemid 44854383)
10. Smith RP, McArdle BH. Pressure in the cuffs of tracheal tubes at altitude. Anaesthesia. 2002;57:374-378. (Pubitemid 34279461)