Comparison of a novel Lycra endotracheal tube cuff to standard polyvinyl chloride cuff and polyurethane cuff for fluid leak prevention

Respiratory Care

Volumn 56, Issue 8, 2011, Pages 1095-1099

  Kolobow, Theodor ^a   Cressoni, Massimo ^b   Epp, Myra ^a   Corti, Ivan ^a   Cadringher, Paolo ^b   Zanella, Alberto ^c  

^a NATIONAL HEART LUNG AND BLOOD INSTITUTE   (United States)

^b FONDAZIONE IRCCS CA GRANDA OSPEDALE MAGGIORE POLICLINICO   (Italy)

^c UNIVERSITY OF MILANO BICOCCA   (Italy)

Author keywords

Cuff; Endotracheal tube; Mechanical ventilation; Ventilator; Ventilator associated pneumonia

Indexed keywords

METHYLENE BLUE; POLYURETHAN; POLYVINYLCHLORIDE;

ARTICLE; CONTROLLED STUDY; ELASTICITY; ENDOTRACHEAL CUFF; ENDOTRACHEAL TUBE; IN VITRO STUDY; INSTRUMENT VALIDATION; INTERMETHOD COMPARISON; MATERIAL COATING; MATERIALS TESTING; PRESSURE GRADIENT; PRESSURE MEASUREMENT; PREVENTION STUDY; PROCESS DEVELOPMENT; STANDARD;

EQUIPMENT DESIGN; HUMANS; INTUBATION, INTRATRACHEAL; MATERIALS TESTING; POLYURETHANES; POLYVINYL CHLORIDE; PRESSURE; RESPIRATION, ARTIFICIAL;

EID: 80051494477     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.01099     Document Type: Article

References (18)

1. Cooper JD, Grillo HC. Experimental production and prevention of injury due to cuffed tracheal tubes. Surg Gynecol Obstet 1969;129(6): 1235-1241.
2. Young PJ, Rollinson M, Downward G, Henderson S. Leakage of fluid past the tracheal tube cuff in a benchtop model. Br J Anaesth 1997;78(5):557-562.
3. Dullenkopf A, Gerber A, Weiss M. Fluid leakage past tracheal tube cuffs: evaluation of the new Microcuff endotracheal tube. Intensive Care Med 2003;29(10):1849-1853.
4. Bauer TT, Ferrer R, Angrill J, Schultze-Werninghaus G, Torres A. Ventilator-associated pneumonia: incidence, risk factors, and microbiology. Semin Respir Infect 2000;15(4):272-279.
5. Kolobow T, Zapol W. A new thin-walled nonkinking catheter for peripheral vascular cannulation. Surgery 1970;68(4):625-629.
6. Kolobow T, Tsuno K, Rossi N, Aprigliano M. Design and development of ultrathin-walled, nonkinking endotracheal tubes of a new"no-pressure" laryngeal seal design. A preliminary report. Anesthesiology 1994;81(4):1061-1067.
7. Chandler M, Crawley BE. Rationalization of the selection of tracheal tubes. Br J Anaesth 1986;58(1):111-116.
8. Young PJ, Burchett K, Harvey I, Blunt MC. The prevention of pulmonary aspiration with control of tracheal wall pressure using a silicone cuff. Anaesth Intensive Care 2000;28(6):660-665.
9. Zanella A, Cressoni M, Epp M, Stylianou M, Kolobow T. A doublelayer tracheal tube cuff designed to prevent leakage: a bench-top study. Intensive Care Med 2008;34(6):1145-1149.
10. Young PJ, Basson C, Hamilton D, Ridley SA. Prevention of tracheal aspiration using the pressure-limited tracheal tube cuff. Anaesthesia 1999;54(6):559-563.
11. Young PJ, Blunt MC. Improving the shape and compliance characteristics of a high-volume, low-pressure cuff improves tracheal seal. Br J Anaesth 1999;83(6):887-889.
12. Johanson WG Jr, Pierce AK, Sanford JP, Thomas GD. Nosocomial respiratory infections with gram-negative bacilli. The significance of colonization of the respiratory tract. Ann Intern Med 1972;77(5): 701-706.
13. Torres A, el Ebiary M, González J, Ferrer M, Puig de la Bellacasa J, Gené A, et al. Gastric and pharyngeal flora in nosocomial pneumonia acquired during mechanical ventilation. Am Rev Respir Dis 1993; 148(2):352-357.
14. Torres A, Serra-Batlles J, Ros E, Piera C, Puig de la Bellacasa J, Cobos A, et al. Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position. Ann Intern Med 1992;116(7):540-543.
15. Berra L, Panigada M, De Marchi L, Greco G, Xi Y, Baccarelli A, et al. New approaches for the prevention of airway infection in ventilated patients. Lessons learned from laboratory animal studies at the National Institutes of Health. Minerva Anestesiol 2003;69(5):342-347.
16. Berra L, De Marchi L, Panigada M, Yu ZX, Baccarelli A, Kolobow T. Evaluation of continuous aspiration of subglottic secretion in an in vivo study. Crit Care Med 2004;32(10):2071-2078.
17. Duguet A, D'Amico L, Biondi G, Prodanovic H, Gonzalez-Bermejo J, Similowski T. Control of tracheal cuff pressure: a pilot study using a pneumatic device. Intensive Care Med 2007;33(1): 128-132.
18. Lorente L, Lecuona M, Jimenez A, Mora ML, Sierra A. Influence of an endotracheal tube with polyurethane cuff and subglottic secretion drainage on pneumonia. Am J Respir Crit Care Med 2007;176(11):1079-1083.