Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Clinical Monitoring and Computing
Published in: Journal of Clinical Monitoring and Computing 3/2021

01-05-2021 | Original Research

A mobile terminal application program was used for endotracheal tube cuff pressure measurement

Authors: Wei-Zhong Wang, Yao-Ying Zhou, Zhi-Juan Wang, Mei-Li Zhu, Xiao-Yan Yao, Jian-Di Yu, Yan-Hong Lin, Fei-Yun Yu, Chun-Yan Wu, Hui-Hui Zhang, Dan Lou, Yue-Hong Hu

Published in: Journal of Clinical Monitoring and Computing | Issue 3/2021

Login to get access

Abstract

We studied the application of a mobile terminal application program in endotracheal tube (ETT) cuff pressure measurement to improve the implementation rate of scientific ETT cuff pressure measurement and to ensure that the pressure falls within the recommended range. A pre-post controlled study lasting for 18 months was undertaken in a 40-bed general intensive care unit (GICU). This included a 6-month baseline period (baseline group) and a 6-month intervention period (intervention group). The mobile terminal application program was applied to monitor the cuff pressure of endotracheal intubation as an intervention measure during the intervention period. ETT pressure was the main outcome measure, while gender, age, causes for ICU admission, sedation score, duration of prior intubation, size of ETT, and number of VAP patients were secondary outcomes. ETT cuff pressure was monitored 742 times in both the baseline group and the intervention group. A total of 56.9% of the cuff pressure measurements in the baseline group were within the recommended range, while 78.4% of measurements in the intervention group were within the recommended range, reflecting a statistically significant difference (P < 0.05). The application of the mobile terminal application program used for ETT cuff pressure measurement could improve the percentage of ETT cuff pressure measurements falling within the recommended range.
Literature
1.
Bassi GL, Ferrer M, Marti JD, et al. Ventilator-associated pneumonia. Semin Respir Crit Care Med. 2014;35(4):469–81.CrossRef
2.
Touat L, Fournier C, Ramon P, et al. Intubation-related tracheal ischemic lesions: incidence, risk factors, and outcome. Intensiv Care Med. 2013;39(4):575–82.CrossRef
3.
Hameed AA, Mohamed H, AI-Mansoori M. Acquired tracheoesophageal fistula due to high intracuff pressure. Ann Thorac Med. 2008;3(1):23–5.CrossRef
4.
Rello J, Soñora R, Jubert P, et al. Pneumonia in intubated patients: role of respiratory airway care. Am J Respir Crit Care Med. 1996;154(01):111–5.CrossRef
5.
Joseph NM, Sistla S, Dutta TK, et al. Ventilator-associated pneumonia: a review. Eur J Intern Med. 2010;21(5):360–8.CrossRef
6.
Xie DS, Xiong W, Lai RP, et al. Ventilator-associated pneumonia in intensive care units in Hubei Province, China: a multicentre prospective cohort survey. J Hosp Infect. 2011;78(4):284–8.CrossRef
7.
Zhang JY, He QQ, Zhou B, et al. Risk factors for ventilator-associated pneumonia in ICU patients. Chin J Nosocomiol. 2015;25(15):3467–9.
8.
Restrepo MI, Anzueto A, Arroliga AC, et al. Economic burden of ventilator associated pneumonia based on total resource utilization. Infect Control Hosp Epidemiol. 2010;31(5):509–15.CrossRef
9.
Melsen WG, Rovers MM, Groenwold RH, et al. Attributable mortality of ventilator-associated pneumonia: a meta-analysis of individual patient data from randomised prevention studies. Lancet Infect Dis. 2013;13(8):665–71.CrossRef
10.
Liu J, Zhang X, Gong W, et al. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study. Anesth Analg. 2010;111(5):1133–7.CrossRef
11.
Hoffman RJ, Parwani V, Hahn IH. Experienced emergency medicine physicians cannot safely inflate or estimate endotracheal tube cuff pressure using standard techniques. Am J Emerg Med. 2006;24(2):139–43.CrossRef
12.
Soni R, Mehta K, Mehta T, et al. Influence of ventilator-associated pneumonia on length of stay for hospitalized patient requiring mechanical ventilation: a nationwide analysis. Chest. 2014;146(4_MeetingAbstracts):206A.CrossRef
13.
Nseir S, Brisson H, Marquette CH, et al. Variations in endotracheal cuff pressure in intubated critically ill patients: prevalence and risk factors. Eur J Anaesthesiol. 2009;26(3):229–34.CrossRef
14.
Li J, Zhan QY, Liang ZA, et al. A questionnaire survey on the current practices of respiratory care in intensive care unit in 30 provinces. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2009;21(4):211–4.PubMed
15.
Xiang YJ, Sai DH. Investigation and analysis on nurses' recognition on the related knowledge of cuffed balloons administration for patients with endotracheal tube. Chin J Mod Nurs. 2010;16(21):2512–5.
16.
Fu Y, Xi XM. Analysis on risk factors of endotracheal cuff under inflation in mechanically ventilated patients. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2014;26(12):870–4.PubMed
17.
Jaillette E, Zerimech F, De Jonckheere J, et al. Efficiency of a pneumatic device in controlling cuff pressure of polyurethane-cuffed tracheal tubes: a randomized controlled study. BMC Anesthesiol. 2013;13(1):50.CrossRef
18.
Lorente L, Lecuona M, Jiménez A, et al. Continuous endotracheal tube cuff pressure control system protects against ventilator-associated pneumonia. Crit Care. 2014;18(2):R77.CrossRef
19.
Patel V, Hodges EJ, Mariyaselvam MZ, et al. Unintentional endotracheal tube cuff deflation during routine checks: a simulation study. Nurs Crit Care. 2019;24(2):83–8.CrossRef
20.
Bolzan DW, Guizilini S, Faresin SM, et al. Endotracheal tube cuff pressure assessment maneuver induces drop of expired tidal volume in the postoperative of coronary artery bypass grafting. J Cardiothorac Surg. 2012;7:53.CrossRef
21.
Koenig SM, Truwit JD. Ventilator-associated pneumonia: diagnosis, treatment, and prevention. Clin Microbiol Rev. 2006;19(4):637–57.CrossRef
22.
Wunderink RG, Woldenberg LS, Zeiss J, et al. The radiologic diagnosis of autopsy-proven ventilator-associated pneumonia. Chest. 1992;101(2):458–63.CrossRef
23.
Kalil AC, Metersky ML, Klompas M, et al. Executive summary: management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the infectious diseases society of America and the American thoracic society. Clin Infect Dis. 2016;63(5):575–82.CrossRef
24.
Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond agitation-sedation scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002;166(10):1338–444.CrossRef
25.
Wang CT, Chen M, Yu KJ, et al. Current status of critical care medicine in Eastern China. Chin J Crit Care Intensiv Care Med. 2016;2(1):43–9.
26.
Pisano A, Verniero L, Galdieri N, et al. Assessing the correct inflation of the endotracheal tube cuff: a larger pilot balloon increases the sensitivity of the 'finger-pressure' technique, but it remains poorly reliable in clinical practice. J Clin Monit Comput. 2019;33(2):301–5.CrossRef
27.
Koff MD, Corwin HL, Beach ML, et al. Reduction in ventilator associated pneumonia in a mixed intensive care unit after initiation of a novel hand hygiene program. J Crit Care. 2011;26:489–95.CrossRef
28.
Lorente L, Lecuona M, Jiménez A, et al. Influence of an endotracheal tube with polyurethane cuff and subglottic secretion drainage on pneumonia. Am J Respir Crit Care Med. 2007;176:1079–83.CrossRef
29.
Alexiou VG, Lerodiakonou V, Dimopoulos G, et al. Impact of patient position on the incidence of ventilator-associated pneumonia: a meta-analysis of randomized controlled trials. J Crit Care. 2009;24:515–22.CrossRef
30.
Hsu CW, Sun SF, Lin SL, et al. Duodenal versus gastric feeding in medical intensive care unit patients: a prospective, randomized, clinical study. Crit Care Med. 2009;37:1866–72.CrossRef
Metadata
Title
A mobile terminal application program was used for endotracheal tube cuff pressure measurement
Authors
Wei-Zhong Wang
Yao-Ying Zhou
Zhi-Juan Wang
Mei-Li Zhu
Xiao-Yan Yao
Jian-Di Yu
Yan-Hong Lin
Fei-Yun Yu
Chun-Yan Wu
Hui-Hui Zhang
Dan Lou
Yue-Hong Hu
Publication date
01-05-2021
Publisher
Springer Netherlands
Published in
Journal of Clinical Monitoring and Computing / Issue 3/2021
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI
https://doi.org/10.1007/s10877-020-00499-7

Other articles of this Issue 3/2021

Journal of Clinical Monitoring and Computing 3/2021 Go to the issue

Original Research

Association between intraoperative nociception and surgical invasiveness in patients undergoing non-cardiac surgery under general anesthesia: a retrospective cohort study

Original Research

Development, implementation and preliminary evaluation of clinical dashboards in a department of anesthesia

Letter to the Editor

Perioperative Surgical Pleth Index as a Stress Indicator for the Prevention of Perioperative Euglycemic Diabetic Ketoacidosis

Original Research

Patterns in continuous pulse oximetry data prior to pulseless electrical activity arrest in the general care setting

Original Research

Effects of intraoperative positive end-expiratory pressure optimization on respiratory mechanics and the inflammatory response: a randomized controlled trial

Original Research

A comparison of the quality of image acquisition between two different sidestream dark field video-microscopes