Cuff pressure of endotracheal tubes after changes in body position in critically ill patients treated with mechanical ventilation

American Journal of Critical Care

Volumn 23, Issue 1, 2014, Pages

  Lizy, Christelle ^a   Swinnen, Walter ^b   Labeau, Sonia ^c   Poelaert, Jan ^d   Vogelaers, Dirk ^a   Vandewoude, Koenraad ^a   Dulhunty, Joel ^e   Blot, Stijn ^a  

^a GHENT UNIVERSITY   (Belgium)

^b Sint Blasius General Hospital   (Belgium)

^c UNIVERSITY COLLEGE GHENT   (Belgium)

^d FREE UNIVERSITY OF BRUSSELS   (Belgium)

^e UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ACID ASPIRATION; AGED; ARTICLE; ARTIFICIAL VENTILATION; CRITICAL ILLNESS; ENDOTRACHEAL INTUBATION; EQUIPMENT; FEMALE; HUMAN; INJURY; INTENSIVE CARE UNIT; MALE; METHODOLOGY; MIDDLE AGED; NEUROMUSCULAR BLOCKING; PATHOPHYSIOLOGY; PATIENT POSITIONING; PRESSURE; PROSPECTIVE STUDY; TRACHEA;

AGED; CRITICAL ILLNESS; FEMALE; HUMANS; INTENSIVE CARE UNITS; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; NEUROMUSCULAR BLOCKADE; PATIENT POSITIONING; PRESSURE; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; RESPIRATORY ASPIRATION; TRACHEA;

EID: 84891803442     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: 10.4037/ajcc2014489     Document Type: Article

References (41)

1. American Thoracic Society; Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcareassociated pneumonia. Am J Respir Crit Care Med. 2005; 171(4):388-416.
2. Lorente L, Blot S, Rello J. Evidence on measures for the prevention of ventilator-associated pneumonia. Eur Respir J. 2007;30(6):1193-1207.
3. 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(6422):965-968.
4. Stauffer J. Complications of endotracheal intubation and tracheotomy. Respir Care. 1999;44(7):828-844.
5. Safdar N, Crnich CJ, Maki DG. The pathogenesis of ventilatorassociated pneumonia: its relevance to developing effective strategies for prevention. Respir Care. 2005;50(6):725-739.
6. Safdar N, Dezfulian C, Collard HR, Saint S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med. 2005;33(10):2184-2193.
7. Myny D, Depuydt P, Colardyn F, Blot S. Ventilator-associated pneumonia in a tertiary care ICU: analysis of risk factors for acquisition and mortality. Acta Clin Belg. 2005;60(3):114-121.
8. Rello J, Soñora R, Jubert P, Artigas A, Rué M, Vallés J. Pneumonia in intubated patients: role of respiratory airway care. Am J Respir Crit Care Med. 1996;154(1):111-115.
9. Bernhard WN, Yost L, Joynes D, Cothalis S, Turndorf H. Intracuff pressures in endotracheal and tracheostomy tubes: related cuff physical characteristics. Chest. 1985;87(6):720-725.
10. Guyton D, Banner MJ, Kirby RR. High-volume, low-pressure cuffs: are they always low pressure? Chest. 1991;100(4): 1076-1081.
11. Tu HN, Saidi N, Leiutaud T, Bensaid S, Menival V, Duvaldestin P. Nitrous oxide increases endotracheal cuff pressure and the incidence of tracheal lesions in anesthetized patients. Anesth Analg. 1999;89(1):187-190.
12. Bassi M, Zuercher M, Erne JJ, Ummenhofer W. Endotracheal tube intracuff pressure during helicopter transport. Ann Emerg Med. 2010;56(2):89-93.e81.
13. Girling KJ, Bedforth NM, Spendlove JL, Mahajan RP. Assessing neuromuscular block at the larynx: the effect of change in resting cuff pressure and a comparison with video imaging in anesthetized humans. Anesth Analg. 1999;88(2):426-431.
14. Mehta S, Myat HM. The cross-sectional shape and circumference of the human trachea. Ann R Coll Surg Engl. 1984; 66(5):356-358.
15. Inada T, Kawachi S, Kuroda M. Tracheal tube cuff pressure during cardiac surgery using cardiopulmonary bypass. Br J Anaesth. 1995;74(3):283-286.
16. Sole ML, Combs SM, Willis J. Changes in endotracheal cuff pressures over time [abstract]. Crit Care Med. 2003;31(suppl 2): A144.
17. Kim JT, Kim HJ, Ahn W, et al. Head rotation, flexion, and extension alter endotracheal tube position in adults and children. Can J Anaesth. 2009;56(10):751-756.
18. Ely EW, Truman B, Shintani A, et al. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA. 2003; 289(22):2983-2991.
19. Aïssaoui Y, Zeggwagh AA, Zekraoui A, Abidi K, Abouqal R. Validation of a behavioral pain scale in critically ill, sedated, and mechanically ventilated patients. Anesth Analg. 2005; 101(5):1470-1476.
20. Sole ML, Aragon D, Bennett M, Johnson RL. Continuous measurement of endotracheal tube cuff pressure: how difficult can it be? AACN Adv Crit Care. 2008;19(2):235-243.
21. MacKenzie CF, McAslan TC, Shin B, Schellinger D, Helrich M. The shape of the human adult trachea. Anesthesiology. 1978; 49(1):48-50.
22. Brimacombe J, Keller C, Giampalmo M, Sparr HJ, Berry A. Direct measurement of mucosal pressures exerted by cuff and non-cuff portions of tracheal tubes with different cuff volumes and head and neck positions. Br J Anaesth. 1999;82(5):708-711.
23. de Godoy ACF, Viera RJ, De Capitani EM. Endotracheal tube cuff pressure alterations after changes in position in patients under mechanical ventilation. J Bras Pneumol. 2008;34(5): 294-297.
24. Whited RE. A prospective study of laryngotracheal sequelae in long-term intubation. Laryngoscope. 1984;94(3):367-377.
25. Bhatti NI, Mohyuddin A, Reaven N, et al. Cost analysis of intubation-related tracheal injury using a national database. Otolaryngol Head Neck Surg. 2010;143(1):31-36.
26. Touat L, Fournier C, Ramon P, Salleron J, Durocher A, Nseir S. Intubation-related tracheal ischemic lesions: incidence, risk factors, and outcome. Intensive Care Med. 2013;39(4):575-582.
27. Galinski M, Tréoux V, Garrigue B, Lapostolle F, Borron SW, Adnet F. Intracuff pressures of endotracheal tubes in the management of airway emergencies: the need for pressure monitoring. Ann Emerg Med. 2006;47(6):545-547.
28. Chopra M, Jones L, Boulanger C, et al. Prospective observational measurement of tracheal tube cuff pressures in the emergency department. Emerg Med J. 2010;27(4):270-271.
29. Braz JR, Navarro LH, Takata IH, Nascimento Júnior P. Endotracheal tube cuff pressure: need for precise measurement. Sao Paulo Med J. 1999;117(6):243-247.
30. Labeau S, Bleiman M, Rello J, Vandijck D, Claes B, Blot S. Intensive care nurses' knowledge and management of tracheal tube cuffs [abstract 0786]. Intensive Care Med. 2009; 35(suppl 1):S203.
31. Sole ML, Byers JF, Ludy JE, Ostrow CL. Suctioning techniques and airway management practices: pilot study and instrument evaluation. Am J Crit Care. 2002;11(4):363-368.
32. Sole ML, Byers JF, Ludy JE, Zhang Y, Banta CM, Brummel K. A multisite survey of suctioning techniques and airway management practices. Am J Crit Care. 2003;12(3):220-230.
33. Vyas D, Inweregbu K, Pittard A. Measurement of tracheal tube cuff pressure in critical care. Anaesthesia. 2002;57(3):275-277.
34. Hoffman RJ, Parwani V, Hahn IH. Experienced emergency medicine physicians cannot safely inflate or estimate endotracheal tube cuff pressure using standard techniques. Am J Emerg Med. 2006;24(2):139-143.
35. Parwani V, Hoffman RJ, Russell A, Bharel C, Preblick C, Hahn IH. Practicing paramedics cannot generate or estimate safe endotracheal tube cuff pressure using standard techniques. Prehosp Emerg Care. 2007;11(3):307-311.
36. Stewart SL, Secrest JA, Norwood BR, Zachary R. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA J. 2003; 71(6):443-447.
37. Liu J, Zhang X, Gong W, et al. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study. Anesth Analg. 2010;111(5): 1133-1137.
38. Nseir S, Zerimech F, Fournier C, et al. Continuous control of tracheal cuff pressure and microaspiration of gastric contents in critically ill patients. Am J Respir Crit Care Med. 2011;184(9):1041-1047.
39. 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(6):1543-1549.
40. Sole ML, Penoyer DA, Su X, et al. Assessment of endotracheal cuff pressure by continuous monitoring: a pilot study. Am J Crit Care. 2009;18(2):133-143.
41. Sole ML, Su X, Talbert S, et al. Evaluation of an intervention to maintain endotracheal tube cuff pressure within therapeutic range. Am J Crit Care. 2011;20(2):109-118.