Comparison of Microaspiration Around Taperguard Tube Cuffs and Standard Tracheal Tubes in Obese Patients Subjected to Surgery Under General Anesthesia
Journal Title: Polish Journal of Surgery - Year 2014, Vol 86, Issue 3
Abstract
Tracheal secretion leakage might lead to ventilator-associated pneumonia. Standard tracheal tube cuffs are cylindrical in shape. Bronchial tree aspiration is observed in the presence of leakage past tracheal tube cuffs. The new TaperGuard tracheal tube has a cuff in the shape of a cone, preventing from the development of microtubules and microaspiration. The aim of the study was to compare standard tracheal tube cuffs with TaperGuard tubes, in terms of protection from microaspiration under general anesthesia. Material and methods. The observational study evaluated incidents of leakage during general anesthesia with intubation and mechanical ventilation in patients with significant obesity. The study group comprised 20 patients with the BMI >40 kg/m2 subjected to elective surgery under general anesthesia with intubation and mechanical ventilation, randomly divided into two subgroups: standard tracheal tube and TaperGuard tube. Results. In 4 of 10 patients with standard tracheal tubes we observed leakage around the cuff. In case of TaperGuard tubes no such leakage was observed. Conclusion. TaperGuard tubes protect against microaspirations, while standard tracheal tubes have no such properties.
Authors and Affiliations
Ewelina Gaszyńska, Paweł Ratajczyk, Andrzej Wieczorek, Tomasz Szewczyk
Keywords
Related Articles
- EP ID EP74382
- DOI 10.2478/pjs-2014-0020
- Views 155
- Downloads 0
Cystic Adrenal Lesions - Analysis of Indications and Results of Treatment
Cytoreductive surgery and HIPEC in the treatment of peritoneal metastases of sarcomas and other rare malignancies
Abstract ..................................... Cytoreductive surgery and HIPEC in the treatment of peritoneal metastases of sarcomas and other rare malignancies.<br/><br/>
Satisfaction with life and social factors in decision‑making process on breast reconstruction in women after mastectomy
The aim of the study was to analyse the correlation between satisfaction with life in women after mastectomy and motivation to undergo breast reconstruction, compared to women who after breast amputation did not decide t...
Effects of bariatric surgery on cardiovascular risk factors among morbidly obese patients
Aim of the study: The aim of this study was to evaluate the influence of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric by-pass on risk factors of cardiovascular diseases. Material and methods: We ana...
Severe vascular complications of acute pancreatiti
Acute pancreatitis (AP) develops as a result of the imbalance of the mechanisms inhibiting the activity of enzymes in the pancreatic cells, which causes their autoactivation in the pancreas. The incidence of AP ranges fr...