Evidence map›Paper›PMID 39917970›Full record

Trial reportAnaesthesiology intensive therapy2024

Endotracheal tube cuff pressure assessment: expectations versus reality.

Valentyn Sadovyi, Iurii Kuchyn, Kateryna Bielka, Vasyl Horoshko, Dmytro Sazhyn, Liubov Sokolova

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Anaesthesiology intensive therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Valentyn SadovyiUniversity Clinic of Bogomolets National Medical University, Kyiv, Ukraine.
Iurii KuchynDepartment of Surgery, Anesthesiology and Intensive Care of the Bogomolets National Medical University, Kyiv, Ukraine.
Kateryna BielkaDepartment of Surgery, Anesthesiology and Intensive Care of the Bogomolets National Medical University, Kyiv, Ukraine.
Vasyl HoroshkoDepartment of Surgery, Anesthesiology and Intensive Care of the Bogomolets National Medical University, Kyiv, Ukraine.
Dmytro SazhynDepartment of Surgery, Anesthesiology and Intensive Care of the Bogomolets National Medical University, Kyiv, Ukraine.
Liubov SokolovaNational Military Medical Clinical Center "Main Military Clinical Hospital", Kyiv, Ukraine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDamage to the trachea, although rare, is a serious complication in anesthesiology and intensive care. The main mechanism of such injury is a direct mechanical action associated with excessive pressure in the cuff of the endotracheal tube (ETT). The aim of the study was to evaluate the actual pressure in the cuffs during surgical interventions, correlate this measure with the subjective assessment of the anesthesiologist, and compare different methods of inflating the ETT cuff.

methodsNinety patients were randomly divided into two equal groups. In the study group, the "minimum leakage" technique was used to inflate the cuff. In the control group, the adequacy of pressure was determined by palpation of the cuff balloon. In both groups, the actual pressure was then measured using a mechanical manometer connected to the cuff.

resultsThe average ETT cuff pressure was 30.4 ± 4.9 cmH 2 O (2.98 ± 0.48 kPa) in the study group and 68.9 ± 23.3 cmH 2 O (6.75 ± 2.28 kPa) in the control group. The pressure in the ETT cuffs was within the standard safe range (i.e. 20-30 cmH 2 O) in 2/45 (4.4%) and 23/45 (51.1%) patients in the control and the study group, respectively.

conclusionsIn the majority of cases, the pressure achieved via evaluation by the me-thod of palpation of the control cuff was not adequate. Among various non-mechanical methods of measuring and controlling pressure in the cuff of the intubation tube, the minimum occlusion volume technique deserves attention.

Indexed as

Intubation, IntratrachealPressureAdultAgedFemaleHumansMaleManometryMiddle AgedTracheaintubationminimal occlusion volume methodsafety in the operating roomtracheal injury

Identifiers

PMID39917970
PMCPMC11736906

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.