@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2013;19(2):105-109
ISSN: 2252-0805 The Horizon of Medical Sciences 2013;19(2):105-109
Relationship between Temperature and Cuff Pressure in Mechanically Ventilated Patients with Endotracheal Tube
ARTICLE INFO
Article Type
Original ResearchAuthors
Saleh Moghaddam A. R. (*)Malekzade J. (1)
Mesbahi Z. (2)
Esmaeli H. (3)
(*) Department of Nursing Management, Faculty of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
(1) Department of Internal Surgery, Faculty of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
(2) Department of Nursing, Faculty of Nursing & Midwifery, Mashhad University of Medical Sciences, Ghuchan, Iran
(3) Department of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
Correspondence
Address: Faculty of Nursing & Midwifery, Doktori Junction, Daneshgah Street, Mashhad, Iran. Postal Code: 91379-13199Phone: +985118597311
Fax: +985118597311
salehmoghaddamar@mums.ac.ir
Article History
Received: September 7, 2011Accepted: June 18, 2013
ePublished: June 25, 2013
ABSTRACT
Aims
Endotracheal intubation is a process that typically done in intensive care unit and emergency rooms by physicians, nurses and health care personnel. Because several factors such as positive pressure ventilation, duration of intubation, temperature and body movements can cause the cuff pressure changes, this study was done to evaluate the relationship between temperature and cuff pressure of endotracheal tube.
Materials & Methods This single-group correlation study was performed in the middle 6 months of 2011 in intensive care units and emergency departments’ patients of local hospitals of Mashhad University of Medical Sciences and 70 patients with an endotracheal tube or tracheostomy (with cuff) connected to mechanical ventilation were enrolled. Inventory data collected from the endotracheal tube cuff pressure and temperature were recorded. The collected data were analyzed by SPSS 11.5 software using Pearson and Spearman correlation, general linear model coefficients, Kruskal Wallis and Mann-Whitney U tests.
Findings Endotracheal cuff pressure was abnormal in 80% of cases. There was a positive significant difference between endotracheal tube cuff pressure which was measured at 10 different times and the temperature change (p=0.001). No interactive effects were observed in every 10 measurements, between temperature and inspiratory oxygen percentage and endotracheal cuff pressure (p>0.05).
Conclusion Endotracheal tube cuff pressure of most patients is outside the standard range. The temperature affects the endotracheal tube cuff pressure.
Materials & Methods This single-group correlation study was performed in the middle 6 months of 2011 in intensive care units and emergency departments’ patients of local hospitals of Mashhad University of Medical Sciences and 70 patients with an endotracheal tube or tracheostomy (with cuff) connected to mechanical ventilation were enrolled. Inventory data collected from the endotracheal tube cuff pressure and temperature were recorded. The collected data were analyzed by SPSS 11.5 software using Pearson and Spearman correlation, general linear model coefficients, Kruskal Wallis and Mann-Whitney U tests.
Findings Endotracheal cuff pressure was abnormal in 80% of cases. There was a positive significant difference between endotracheal tube cuff pressure which was measured at 10 different times and the temperature change (p=0.001). No interactive effects were observed in every 10 measurements, between temperature and inspiratory oxygen percentage and endotracheal cuff pressure (p>0.05).
Conclusion Endotracheal tube cuff pressure of most patients is outside the standard range. The temperature affects the endotracheal tube cuff pressure.
CITATION LINKS
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[3] Valencia M, Chan S, Wong C, Cherng C. Determining an optimal tracheal tube cuff pressure by the feel of the pilot balloon: A training course for trainees providing airway care. Acta Anaesth Taiwan. 2009;47(2):79-83.
[4] Valencia M, Ferrer M, Farre R, Navajas D, Badia J, Nicolas J, et al. Automatic control of tracheal tube cuff pressure in ventilated patients in semirecumbent position: A randomized trial. Crit Care Med. 2007;35(6):11-7.
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[7] Miure M, Suzuk T. An in vitro method to measure permeability of gases through a cuff membrane of tracheal tube in conditions relevant to its clinical uses. J Exp Clin Med. 2009;34(2):42-7.
[8] Parvani 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;11:307-11.
[9] Stein C, Berkowitz G, Kramer E. Assessment of safe end tracheal tube cuff pressures in emergency care-time for change? Sci Lett March. 2011;3(101):44-57.
[10] Ishiguro Y, Saito H, Nakata Y, Goto T, Terui K, Niimi Y, et al. Effect of Xenon on endotracheal tube cuff. J Clin Anaesth. 2000;12(5):371-3.
[11] Ikeda S, Schweiss JF. Tracheal tube cuff volume changes during extracorporeal circulation. Can J Anaesth Soc. 1980;27(5):30-8.
[12] Neto S. Influence of temperature on tracheal tube cuff pressure during cardiac surgery. J Acta Anaesth Scand. 1999;43(3):333-7.
[13] Inada T, Kawachi S, Kuroda M. Tracheal tube cuff pressure during cardiac surgery using cardiopulmonary bypass. J Br Anaesth. 1995;74(3):283-6.
[14] Glen M, Atlas MD. A mathematical model of differential tracheal tube cuff pressure: Effects of diffusion and temperature. J Clin Monit Comput. 2005;19(5):415-25.
[2] Nseir S, Duguet A, Copin M, Jonckheere J, Zhang M, Similowski T, et al. Continuous control of endotracheal cuff pressure and tracheal wall damage: A randomized controlled animal study. Crit Care. 2007;11(5):14.
[3] Valencia M, Chan S, Wong C, Cherng C. Determining an optimal tracheal tube cuff pressure by the feel of the pilot balloon: A training course for trainees providing airway care. Acta Anaesth Taiwan. 2009;47(2):79-83.
[4] Valencia M, Ferrer M, Farre R, Navajas D, Badia J, Nicolas J, et al. Automatic control of tracheal tube cuff pressure in ventilated patients in semirecumbent position: A randomized trial. Crit Care Med. 2007;35(6):11-7.
[5] Nick Bakhsh N, Naghshineh A. A case report of tracheal stenosis with tracheal esophageal fistula following tracheal tube. Babol Univ Med Sci J. 2001;1(2):24-9. [Persian]
[6] Nseir S, Brisson H, Marquette C, Chaud P, Pompeo C, Diarra M, et al. Variations in endotracheal cuff pressure in intubated critically. J Anaesth. 2009;26(3):229-34.
[7] Miure M, Suzuk T. An in vitro method to measure permeability of gases through a cuff membrane of tracheal tube in conditions relevant to its clinical uses. J Exp Clin Med. 2009;34(2):42-7.
[8] Parvani 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;11:307-11.
[9] Stein C, Berkowitz G, Kramer E. Assessment of safe end tracheal tube cuff pressures in emergency care-time for change? Sci Lett March. 2011;3(101):44-57.
[10] Ishiguro Y, Saito H, Nakata Y, Goto T, Terui K, Niimi Y, et al. Effect of Xenon on endotracheal tube cuff. J Clin Anaesth. 2000;12(5):371-3.
[11] Ikeda S, Schweiss JF. Tracheal tube cuff volume changes during extracorporeal circulation. Can J Anaesth Soc. 1980;27(5):30-8.
[12] Neto S. Influence of temperature on tracheal tube cuff pressure during cardiac surgery. J Acta Anaesth Scand. 1999;43(3):333-7.
[13] Inada T, Kawachi S, Kuroda M. Tracheal tube cuff pressure during cardiac surgery using cardiopulmonary bypass. J Br Anaesth. 1995;74(3):283-6.
[14] Glen M, Atlas MD. A mathematical model of differential tracheal tube cuff pressure: Effects of diffusion and temperature. J Clin Monit Comput. 2005;19(5):415-25.