Identification of a Very High Cuff Pressure byManual Palpation of the External Cuff Balloonon an Endotracheal Tube
2015 (English)In: Journal of american association of nurse anesthtists, ISSN 0094-6354, Vol. 83, no 3, 179-182 p.Article in journal (Refereed) Published
The most common complication due to intubation isa high cuff pressure. A high cuff pressure can causepostanesthetic tracheal mucosal injuries in patientsundergoing surgery. The aim of this cross-sectionalstudy was to describe whether anesthetic nurses andanesthesiologists identified a very high cuff pressureby manual palpation of the external cuff balloon onan endotracheal tube. An airway device was intubatedwith an endotracheal tube cuffed to 95 cm H2O. Eachparticipant palpated the external cuff balloon and thenfilled out a questionnaire, including estimation of thecuff pressure and user frequency of the cuff pressuremanometer. The results showed that 89.1% estimatedthat the cuff pressure was high. Among the participantswho rated the cuff pressure as high, 44.8% ratedthe pressure as quite high and 60.6% rated the pressureas very high. There was no significant relationshipbetween profession and skill in identifying a veryhigh cuff pressure (P = .843) or between work experienceand skill in terms of identifying a very high cuffpressure (P = .816). These findings indicate that 10%of patients are at risk of tracheal erosion because of ahigh cuff pressure.
Place, publisher, year, edition, pages
2015. Vol. 83, no 3, 179-182 p.
Anesthesia staff, cuff pressure, cuff pressure manometers, manual palpation
IdentifiersURN: urn:nbn:se:umu:diva-105532OAI: oai:DiVA.org:umu-105532DiVA: diva2:826320