The role of the endotracheal tube cuff in microaspiration

Heart and Lung: Journal of Acute and Critical Care

Volumn 41, Issue 2, 2012, Pages 167-172

  Hamilton, V Anne ^a   Grap, Mary Jo ^a  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

Author keywords

Cuff leak; Cuff pressure; Endotracheal tube; Microaspiration; Ventilator associated pneumonia

Indexed keywords

LATEX; SILICONE;

AIRFLOW; ASPIRATION; BACTERIAL COLONIZATION; DISEASE PREDISPOSITION; ENDOTRACHEAL CUFF; ENDOTRACHEAL TUBE; HIGH RISK PATIENT; HUMAN; HYPOXIA; LUNG ASPIRATION; MORBIDITY; MORTALITY; OUTCOME ASSESSMENT; PNEUMONIA; PRESSURE; PRIORITY JOURNAL; RESPIRATORY TRACT INFECTION; REVIEW; STOMACH CONTENT; TRACHEOBRONCHITIS; VENTILATED PATIENT; VENTILATOR ASSOCIATED PNEUMONIA;

CRITICAL ILLNESS; EQUIPMENT DESIGN; EQUIPMENT FAILURE; FOLLOW-UP STUDIES; HUMANS; INTUBATION, INTRATRACHEAL; PNEUMONIA, ASPIRATION; PRESSURE; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL;

EID: 84857373257     PISSN: 01479563     EISSN: 15273288     Source Type: Journal    
DOI: 10.1016/j.hrtlng.2011.09.001     Document Type: Review

References (59)

1. Young P., Wyncoll D. PEEP is protective against pulmonary microaspiration. Crit Care Med 2009, 37:380-382.
2. Craven D.E., Hjalmarson K.I. Ventilator-associated tracheobronchitis and pneumonia: thinking outside the box. Clin Infect Dis 2010, 51(Suppl 1):S59-S66.
3. Dasta J.F., McLaughlin T.P., Mody S.H., Piech C.T. Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Crit Care Med 2005, 33:1266-1271.
4. Safdar N., Dezfulian C., Collard H.R., Saint S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med 2005, 33:2184-2193.
5. Acka O. Endotracheal tube cuff leak: Can optimum managment of cuff pressure prevent pneumonia?. Crit Care Med 2007, 36:1624-1626.
6. Craven D.E. Ventilator-associated tracheobronchitis (VAT): questions, answers, and a new paradigm?. Crit Care 2008, 12:157.
7. Agrafiotis M., Siempos, Falagas M.E. Frequency, prevention, outcome and treatment of ventilator-associated tracheobronchitis: systematic review and meta-analysis. Respir Med 2010, 104:325-336.
8. Dallas J., Skrupky L., Abebe N., Boyle W.A., Kollef M.H. Ventilator-associated tracheobronchitis in a mixed surgical and medical ICU population. Chest 2011, 139:513-518.
9. Guidelines for the management of adults with hospital-acquired, ventilator-assocated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005, 171:388-416. American Thoracic Society and Infectious Disease Society of America.
10. Nseir S., Ader F., Marquette C.H. Nosocomial tracheobronchitis. Curr Opin Infect Dis 2009, 22:148-153.
11. Nseir S., Favory R., Jozefowicz E., Decamps F., Dewavrin F., Brunin G., et al. Antimicrobial treatment for ventilator-associated tracheobronchitis: a randomized, controlled, multicenter study. Crit Care 2008, 12:R62.
12. Mahul P., Auboyer C., Jospe R., Ros A., Guerin C., el Khouri Z., et al. Prevention of nosocomial pneumonia in intubated patients: respective role of mechanical subglottic secretions drainage and stress ulcer prophylaxis. Intensive Care Med 1992, 18:20-25.
13. Smulders K., van der Hoeven H., Weers-Pothoff I., Vandenbroucke-Grauls C. A randomized clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation. Chest 2002, 121:858-862.
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, 116:540-543.
15. Valles J., Artigas A., Rello J., Bonsoms N., Fontanals D., Blanch L., et al. Continuous aspiration of subglottic secretions in preventing ventilator-associated pneumonia. Ann Intern Med 1995, 122:179-186.
16. Chevret S., Hemmer M., Carlet J., Langer M. Incidence and risk factors of pneumonia acquired in intensive care units. Results from a multicenter prospective study on 996 patients. European Cooperative Group on Nosocomial Pneumonia. Intensive Care Med 1993, 19:256-264.
17. National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 2004, 19:470-485.
18. Milbrandt E.B., Kersten A., Rahim M.T., Dremsizov T.T., Clermont G., Cooper L.M., et al. Growth of intensive care unit resource use and its estimated cost in Medicare. Crit Care Med 2008, 36:2504-2510.
19. Tablan O.C., Anderson L.J., Besser R., Bridges C., Hajjeh R. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 2004, 53(RR-3):1-36.
20. Cook D.J., Kollef M.H. Risk factors for ICU-acquired pneumonia. JAMA 1998, 279:1605-1606.
21. Ibrahim E.H., Tracy L., Hill C., Fraser V.J., Kollef M.H. The occurrence of ventilator-associated pneumonia in a community hospital: risk factors and clinical outcomes. Chest 2001, 120:555-561.
22. Health-Care Associated Infections. Available at: http://www.healthypeople.gov/2010/document/html/objectives/14-20.htm.
23. Larson J.L., Ahijevych K., Gift A., Hoffman L., Janson S.L., Lanuza D.M., et al. American Thoracic Society statement on research priorities in respiratory nursing. Am J Respir Crit Care Med 2006, 174:471-478.
24. Institute for Healthcare Improvement: Campaign - Overview. Available at: http://www.ihi.org/knowledge/Pages/Tools/HowtoGuidePreventVAP.aspx.
25. Kollef M.H., Levy N.T., Ahrens T.S., Schaiff R., Prentice D., Sherman G. The use of continuous i.v. sedation is associated with prolongation of mechanical ventilation. Chest 1998, 114:541-548.
26. Yang C.S., Qiu H.B., Zhu Y.P., Huang Y.Z., Xu X.T., Gao L. [Effect of continuous aspiration of subglottic secretions on the prevention of ventilator-associated pneumonia in mechanically ventilated patients: a prospective, randomized, controlled clinical trial]. Zhonghua Nei Ke Za Zhi 2008, 47:625-629.
27. Bouza E., Perez M.J., Munoz P., Rincon C., Barrio J.M., Hortal J. Continuous aspiration of subglottic secretions in the prevention of ventilator-associated pneumonia in the postoperative period of major heart surgery. Chest 2008, 134:938-946.
28. Craven D.E., Steger K.A. Epidemiology of nosocomial pneumonia. New perspectives on an old disease. Chest 1995, 108(2 Suppl):1S-16S.
29. Stauffer J.L., Olson D.E., Petty T.L. Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med 1981, 70:65-76.
30. Estes R.J., Meduri G.U. The pathogenesis of ventilator-associated pneumonia: I. Mechanisms of bacterial transcolonization and airway inoculation. Intensive Care Med 1995, 21:365-383.
31. Greene K.E., Peters J.I. Pathophysiology of acute respiratory failure. Clin Chest Med 1994, 15:1-12.
32. Knowlson G.T., Bassett H.F. The pressures exerted on the trachea by endotracheal inflatable cuffs. Br J Anaesth 1970, 42:834-837.
33. Nseir S., Brisson H., Marquette C.H., Chaud P., Di Pompeo C., Diarra M., et al. Variations in endotracheal cuff pressure in intubated critically ill patients: prevalence and risk factors. Eur J Anaesthesiol 2009, 26:229-234.
34. Ramirez P., Ferrer M., Torres A. Prevention measures for ventilator-associated pneumonia: a new focus on the endotracheal tube. Curr Opin Infect Dis 2007, 20:190-197.
35. Rello J., Sonora R., Jubert P., Artigas A., Rue M., Valles J. Pneumonia in intubated patients: role of respiratory airway care. Am J Respir Crit Care Med 1996, 154:111-115.
36. Valencia M., Ferrer M., Farre R., Navajas D., Badia J.R., Nicolas J.M., 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.
37. Chadha N.K., Gordin A., Luginbuehl I., Patterson G., Campisi P., Taylor G., et al. Automated cuff pressure modulation: a novel device to reduce endotracheal tube injury. Arch Otolaryngol Head Neck Surg 2011, 137:30-34.
38. Sole M.L., Aragon D., Bennett M., Johnson R.L. Continuous measurement of endotracheal tube cuff pressure: how difficult can it be?. AACN Adv Crit Care 2008, 19:235-243.
39. Sole M.L., Byers J.F., Ludy J.E., Zhang Y., Banta C.M., Brummel K. A multisite survey of suctioning techniques and airway management practices. Am J Crit Care 2003, 12:220-230.
40. Janossy K.M., Pullen J., Young D., Bell G. The effect of pilot balloon design on estimation of safe tracheal tube cuff pressure. Anaesthesia 2010, 65:785-791.
41. Sole M.L., Su X., Talbert S., Penoyer D.A., Kalita S., Jimenez E., et al. Evaluation of an intervention to maintain endotracheal tube cuff pressure within therapeutic range. Am J Crit Care 2011, 20:109-118.
42. Sole M.L., Penoyer D.A., Su X., Jimenez E., Kalita S.J., Poalillo E., et al. Assessment of endotracheal cuff pressure by continuous monitoring: a pilot study. Am J Crit Care 2009, 18:133-143.
43. Young P.J., Rollinson M., Downward G., Henderson S. Leakage of fluid past the tracheal tube cuff in a benchtop model. Br J Anaesth 1997, 78:557-562.
44. Pavlin E.G., VanNimwegan D., Hornbein T.F. Failure of a high-compliance low-pressure cuff to prevent aspiration. Anesthesiology 1975, 42:216-219.
45. Ouanes I., Lyazidi A., Danin P.E., Rana N., Di Bari A., Abroug F., et al. Mechanical influences on fluid leakage past the tracheal tube cuff in a benchtop model. Intensive Care Med 2011, 37:695-700. Epub 2011 Feb 12.
46. Seegobin R.D., van Hasselt G.L. Aspiration beyond endotracheal cuffs. Can Anaesth Soc J 1986, 33(3 Pt 1):273-279.
47. Blunt M.C., Young P.J., Patil A., Haddock A. Gel lubrication of the tracheal tube cuff reduces pulmonary aspiration. Anesthesiology 2001, 95:377-381.
48. Dave M.H., Koepfer N., Madjdpour C., Frotzler A., Weiss M. Tracheal fluid leakage in benchtop trials: comparison of static versus dynamic ventilation model with and without lubrication. J Anesth 2010, 24:247-252.
49. Young P.J., Pakeerathan S., Blunt M.C., Subramanya S. A low-volume, low-pressure tracheal tube cuff reduces pulmonary aspiration. Crit Care Med 2006, 34:632-639.
50. Lorente L., Lecuona M., Jimenez A., Mora M.L., Sierra A. Influence of an endotracheal tube with polyurethane cuff and subglottic secretion drainage on pneumonia. Am J Respir Crit Care Med 2007, 176:1079-1083.
51. Miller M.A., Arndt J.L., Konkle M.A., Chenoweth C.E., Iwashyna T.J., Flaherty K.R., et al. A polyurethane cuffed endotracheal tube is associated with decreased rates of ventilator-associated pneumonia. J Crit Care 2011, 26:280-286. Epub 2010 Jul 23.
52. Nseir S., Zerimech F., De J.J., Alves I., Balduyck M., Durocher A. Impact of polyurethane on variations in tracheal cuff pressure in critically ill patients: a prospective observational study. Intensive Care Med 2010, 36:1156-1163.
53. Poelaert J., Depuydt P., De W.A., Van d V., Herck I., Blot S. Polyurethane cuffed endotracheal tubes to prevent early postoperative pneumonia after cardiac surgery: a pilot study. J Thorac Cardiovasc Surg 2008, 135:771-776.
54. Barnason S., Graham J., Wild M.C., Jensen L.B., Rasmussen D., Schulz P., et al. Comparison of two endotracheal tube securement techniques on unplanned extubation, oral mucosa, and facial skin integrity. Heart Lung 1998, 27:409-417.
55. Carlson J., Mayrose J., Krause R., Jehle D. Extubation force: tape versus endotracheal tube holders. Ann Emerg Med 2007, 50:686-691.
56. Farbod F., Tuli P., Robertson B.F., Jackson I.T. Endotracheal tube fixation methods for optimal stability: a comparison of adhesive tape, suture, and tape-suture fixation. J Craniofac Surg 2010, 21:1250-1251.
57. Kaplow R., Bookbinder M. A comparison of four endotracheal tube holders. Heart Lung 1994, 23:59-66.
58. Gardner A., Hughes D., Cook R., Henson R., Osborne S., Gardner G. Best practice in stabilisation of oral endotracheal tubes: a systematic review. Aust Crit Care 2005, 18. 158, 160-5.
59. Kim J.T., Kim H.J., Ahn W., Kim H.S., Bahk J.H., Lee S.C., et al. Head rotation, flexion, and extension alter endotracheal tube position in adults and children. Can J Anaesth 2009, 56:751-756.