MEASUREMENT OF ENDOTRACHEAL TUBE CUFF PRESSURE USING A CONVENTIONAL METHOD IN ELECTIVE SURGERIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 15
Abstract
BACKGROUND Endotracheal intubation is the key to airway management in general anaesthesia. It is essential to maintain an optimum endotracheal tube cuff pressure in order to achieve optimum seal, thereby preventing the damage to the tracheal mucosa. This study was done to determine the prevalence of endotracheal tube cuff pressure and the risk factors of overinflation. MATERIALS AND METHODS This cross-sectional study was done among 100 participants who underwent elective surgery under general anaesthesia. The participants were selected by convenient sampling. Trachea was intubated with high volume low pressure cuff. Then, cuff pressure was measured using standard cuff pressure manometer and VBM cuff pressure gauge sensitive for low pressure cuffs. The pressure was measured in centimetres of H2O. Intracuff pressure of 20 - 30 cms of H2O was set as standard and pressures outside this were adjusted to 30 cms of H2O (22 mmHg). RESULTS Majority (46%) of the participants belonged to 40 - 59 years of age. Majority of the participants (52%) were males. It was observed that only in 10% of the participants a normal inflation was achieved. Overinflation occurred in 90% of the participants. CONCLUSION It is essential to strive to achieve an optimal cuff pressure in order to prevent complications to the tracheal mucosa.
Authors and Affiliations
Kayalvizhi Periyasamy, Radhika Jayaraman
Keywords
Related Articles
- EP ID EP414425
- DOI 10.14260/jemds/2018/415
- Views 71
- Downloads 0
INDUCIBLE CLINDAMYCIN RESISTANT STAPHYLOCOCCUS AUREUS ISOLATES FROM TERTIARY CARE HOSPITAL, BETTIAH, INDIA
BACKGROUND Staphylococcus aureus is a frequent cause of bacterial infections in both developed and developing countries. The Clinical and Laboratory Standards Institute (CLSI) recommends D-test, which is a phenotypic scr...
COMPARISON OF WHO AND RECIST RESPONSE CRITERIA IN LOCALLY ADVANCED BREAST CANCERA DESCRIPTIVE STUDY
BACKGROUND The current trend in management of Locally Advanced Breast Cancer (LABC) has changed from radical surgery to multimodality approach involving surgery, radiotherapy and chemotherapy. The efficacy of anticancer...
COMPARISON OF AURAMINE-O STAIN AND ZIEHL-NEELSEN STAIN IN THE DETECTION OF TUBERCULOUS BACILLI IN FINE NEEDLE ASPIRATION OF LYMPH NODES
BACKGROUND Tuberculosis is one of the major public health problems and has two types of clinical manifestations, pulmonary and extrapulmonary tuberculosis (EPTB). However, diagnosing EPTB remains challenging because clin...
ASSESSMENT OF DIASTOLIC FUNCTION BY COMBINED TRNSMITRAL AND PULMONARY VENOUS FLOW VELOCITY CURVES
[b]BACKGROUND:[/b] Several clinical studies have reported that 30% to 50% of patients with congestive heart failure have preserved left ventricular systolic function and isolated diastolic dysfunction. Detection of d...
A COMPARATIVE STUDY OF LEVOBUPIVACAINE 0.5% AND BUPIVACAINE 0.5% IN EPIDURAL ANAESTHESIA IN ELECTIVE LOWER LIMB SURGERIES IN ADULTS
BACKGROUND Bupivacaine produces fatal cardiotoxic and neurotoxic effects following accidental intravascular injection due to its R (+) enantiomer. Levobupivacaine, the pure S (−) enantiomer of bupivacaine, is found to be...