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 162
- Downloads 0
Stosunek liczby neutrofilów do limfocytów oraz wskaźnik redukcji kreatyniny pozwalają na przewidzenie dobrej wczesnej czynności przeszczepu nerki u dorosłych
Opóźniona funkcja nerki przeszczepionej (DGF) jest częstym powikłaniem po transplantacji nerki. Jest związana z uszkodzeniem niedokrwienno-reperfuzyjnym (IRI). Do patogenezy uszkodzenia niedokrwienno-reperfuzyjnego związ...
Digestive System Fistula - A Problem Still Relevant Today
Digestive system fistula originates most frequently as a complication after surgical procedures, less often occurs in the course of inflammatory diseases, but it can also result from neoplasm and injuries. <br/><b>The...
Familial Adenomatous Polyposis; 30-Year Observation of a Female Patient – Case Report
Familial adenomatous polyposis (FAP) is a colorectal cancer syndrome caused by a germline mutation inherited in an autosomal-dominant pattern with a 100% penetrance. Our detailed case report presents a history of a 55-ye...
Splenic tuberculosis: a comprehensive review of literature
Tuberculosis(TB) is one of the most common infections affecting the population in the developing countries. With the rising human immunodeficiency(HIV) infection its incidence is on a rise even in the developed countries...
Assessment Of the surgical treatment results IN patients with colorectal cancer IN A district hospital versus treatment results IN A highly specialized center
In Poland there there are about 15-16 thousand cases of colon cancer per year. The health care system allows the treatment of patients with colorectal cancer in highly specialized hospitals, oncology centers and district...