TITLE

Comparison of the intracuff pressures of three different tracheostomy tubes

AUTHOR(S)
Nishiyama, Tomoki
PUB. DATE
August 2005
SOURCE
Journal of Anesthesia;2005, Vol. 19 Issue 3, p260
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The purpose of this study was to compare the cuff pressures of three tracheostomy tubes, MERA sofit CLEAR, Blue Line Tracheostomy Tube, and Tracheosoft. Each tracheostomy tube with an internal diameter of 7.0 mm was put into a plastic column. The cuff was then inflated with air to seal the column, and the column was filled with water. The air in the cuff was withdrawn gradually and the cuff pressure at the point of water leakage was measured. Six columns of different size were used. In columns with an internal diameter of 18–21 mm, the water leakage pressure was lower in the following order: MERA sofit CLEAR < Tracheosoft ≤ Blue Line Tracheostomy Tube. A mongrel dog was tracheotomized, and each tracheostomy tube with an internal diameter of 7.5 mm was intubated. The cuff air was increased by 1 ml from 4 ml to 10 ml, and the intracuff pressure was then measured. The intracaff pressure of the Blue Line Tracheostomy Tube was the highest at the same cuff volume, and that of the Tracheosoft was next. Based on these results, the MERA sofit CLEAR was found to maintain most safely the lowest intracuff pressure to seal the trachea among the three tracheostomy tubes tested.
ACCESSION #
17672156

 

Related Articles

  • Changing patterns of airway accidents in intubated ICU patients. Kapadia, F. N.; Bajan, K. B.; Singh, S.; Mathew, B.; Nath, A.; Wadkar, S. // Intensive Care Medicine;Jan2001, Vol. 27 Issue 1, p296 

    Objective: To document the changes in patterns of airway accidents in intubated patients.Design: Prospective recording of all airway accidents over two periods: 1994-1997 and 1998-1999.Patients: Ventilated patients (5,046) intubated for 9,289 days over 4...

  • Partial pressure of oxygen and partial pressure of carbon dioxide of perfluorocarbon liquid during partial liquid ventilation: their regional difference and their dependence on tidal volume and positive end-expiratory pressure level. Uchida, Tokujiro; Yokoyama, Kuninori; Nakazawa, Koichi; Makita, Koshi; Uchida, T; Yokoyama, K; Nakazawa, K; Makita, K // Intensive Care Medicine;Jan2001, Vol. 27 Issue 1, p36 

    Objective: To investigate the regional partial pressure of oxygen (PO2) and partial pressure of carbon dioxide (PCO2) of the perfluorocarbon liquid (PpfcO2, PpfcCO2) during partial liquid ventilation (PLV). Design: Prospective, controlled study. Setting: A research laboratory at a university...

  • Early Tracheotomy After Cardiac Surgery: Not Ready for Prime Time. Patel, Shruti B.; Kress, John P. // Annals of Internal Medicine;3/15/2011, Vol. 154 Issue 6, p434 

    The authors reflect on a study on early percutaneous tracheotomy and prolonged intubation of medically ventilated patients following cardiac surgery by Jean-Louis Trouillet and colleagues. They outline the concerns regarding the optimal timing of tracheotomy on patients who require prolonged...

  • Guidelines for noninvasive ventilation in acute respiratory failure. Chawla, Rajesh; Khilnani, G. C.; Suri, J. C.; Ramakrishnan, N.; Mani, R. K.; Prayag, Shirish; Nagarkar, Shruti; Kansal, Sudha; Sidhu, U. S.; Kumar, Vijay // Indian Journal of Critical Care Medicine;Apr-Jun2006, Vol. 10 Issue 2, p117 

    The article offer information on non-invasive ventilation (NIV) in acute respiratory failure. NIV is an application of artificial ventilation without any conduit access to the airways, without an endotracheal or tracheostomy tube. It recommends NIV in patients with neuromuscular diseases and...

  • Management of Tracheostomy: A Survey of Dutch Intensive Care Units. Veelo, Denise P.; Schultz, Marcus J.; Phoa, Kai Y. N.; Dongelmans, Dave A.; Binnekade, Jan M.; Spronk, Peter E. // Respiratory Care;Dec2008, Vol. 53 Issue 12, p1709 

    OBJECTIVE: To determine tracheostomy-management practices in Dutch intensive care units (ICUs) and post-ICU step-down facilities. METHODS: We surveyed the physician medical directors of all Dutch nonpediatric ICUs that have ^ 5 beds suitable for mechanical ventilation. The survey asked for...

  • Removal of the Tracheal Tube after Prolonged Mechanical Ventilation: Assessment of Risk by Oscillatory Impedance. Franke, Karl-Josef; Nilius, Georg; Morgenstern, Stefan; Ruhle, Karl-Heinz // Respiration;2011, Vol. 81 Issue 2, p118 

    Background: Decannulation failure is usually due to tracheal obstruction. Prior to decannulation, inspection by the invasive procedure of bronchoscopy that permits morphological evaluation of a tracheal stenosis is standard practice. A non-invasive method enabling the quantification of the...

  • An in vitro comparison of tracheostomy tube cuffs. Maguire, Seamus; Haury, Frances; Jew, Korinne // Medical Devices: Evidence & Research;2015, Vol. 8, p185 

    Introduction: The Shileyâ„¢ Flexible adult tracheostomy tube with TaperGuardâ„¢ cuff has been designed through its geometry, materials, diameter, and wall thickness to minimize microaspiration of fluids past the cuff and to provide an effective air seal in the trachea while also...

  • Increasing the effective airway diameter on weaning of tracheostomized patients: choosing the right outcome. Nedel, Wagner; Silva, Flavia; Filho, Edison // Intensive Care Medicine;Nov2013, Vol. 39 Issue 11, p2066 

    A letter to the editor is presented in response to the article "The Effects of Increasing Effective Airway Diameter on Weaning From Mechanical Ventilation in Tracheostomized Patients: A Randomized Controlled Trial" by G. Hernandez and colleagues in the 2013 issue.

  • Management of the chronically ventilated patient with a tracheostomy. Heffner, J. E. // Chronic Respiratory Disease;2005, Vol. 2 Issue 3, p151 

    Tracheostomy is the most common surgical procedure performed on critically ill patients. For those who survive their critical illnesses but remain ventilator-dependent, tracheostomy provides patients with a secure airway that frees the mouth for oral nutrition, enhances verbalized speech, and...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics