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Journal of Clinical Monitoring and Computing
Published in: Journal of Clinical Monitoring and Computing 1/2021

01-02-2021 | Letter to the Editor

Identifying endotracheal tube (ETT) cuff hyperinflation without a manometer: a simple method

Author: Summit Dev Bloria

Published in: Journal of Clinical Monitoring and Computing | Issue 1/2021

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Excerpt

Endotracheal tube (ETT) cuff hyperinflation is known to cause ischaemia of tracheal mucosa, postoperative sore throat and many other complications [1, 2]. The recommended ETT cuff pressure is between 20 and 30 cm of water [3]. ETT cuff is usually either not measured at all or measured intermittently using analogue/digital cuff manometers. Continuous measurement of ETT cuff pressure has been recommended [4]. Subjective measurement of cuff pressure like palpation of pilot balloon has been proven to be inaccurate. A simple method of identifying overinflation of ETT cuff is described here. …
Literature
1.
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
2.
Stein C, Berkowitz G, Kramer E. Assessment of safe endotracheal tube cuff pressures in emergency care—time for change? S Afr Med J. 2011;101(3):172.CrossRef
3.
Talekar CR, Udy AA, Boots RJ, Lipman J, Cook D. Tracheal cuff pressure monitoring in the ICU: a literature review and survey of current practice in Queensland. Anaesth Intensive Care. 2014;42:761–70.CrossRef
4.
Kim JB, Lee JM. A simple and widely available alternative method for endotracheal tube cuff pressure monitoring. Can J Anesth/J Can Anesth. 2018;65:956.CrossRef
Metadata
Title
Identifying endotracheal tube (ETT) cuff hyperinflation without a manometer: a simple method
Author
Summit Dev Bloria
Publication date
01-02-2021
Publisher
Springer Netherlands
Published in
Journal of Clinical Monitoring and Computing / Issue 1/2021
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI
https://doi.org/10.1007/s10877-020-00498-8

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