Achieving the Recommended Endotracheal Tube Cuff Pressure: A Randomized Control Study Comparing Loss of Resistance Syringe to Pilot Balloon Palpation
Joint Authors
Kwizera, Arthur
Ssemogerere, Lameck
Wabule, Agnes
Bulamba, Fred
Kintu, Andrew
Ayupo, Nodreen
Kojjo, Charles
Source
Anesthesiology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-31
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Both under- and overinflation of endotracheal tube cuffs can result in significant harm to the patient.
The optimal technique for establishing and maintaining safe cuff pressures (20–30 cmH2O) is the cuff pressure manometer, but this is not widely available, especially in resource-limited settings where its use is limited by cost of acquisition and maintenance.
Therefore, anesthesia providers commonly rely on subjective methods to estimate safe endotracheal cuff pressure.
This study set out to determine the efficacy of the loss of resistance syringe method at estimating endotracheal cuff pressures.
Methods.
This was a randomized clinical trial.
We enrolled adult patients scheduled to undergo general anesthesia for elective surgery at Mulago Hospital, Uganda.
Study participants were randomized to have their endotracheal cuff pressures estimated by either loss of resistance syringe or pilot balloon palpation.
The pressures measured were recorded.
Results.
One hundred seventy-eight patients were analyzed.
66.3% (59/89) of patients in the loss of resistance group had cuff pressures in the recommended range compared with 22.5% (20/89) from the pilot balloon palpation method.
This was statistically significant.
Conclusion.
The loss of resistance syringe method was superior to pilot balloon palpation at administering pressures in the recommended range.
This method provides a viable option to cuff inflation.
American Psychological Association (APA)
Bulamba, Fred& Kintu, Andrew& Ayupo, Nodreen& Kojjo, Charles& Ssemogerere, Lameck& Wabule, Agnes…[et al.]. 2017. Achieving the Recommended Endotracheal Tube Cuff Pressure: A Randomized Control Study Comparing Loss of Resistance Syringe to Pilot Balloon Palpation. Anesthesiology Research and Practice،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1125489
Modern Language Association (MLA)
Bulamba, Fred…[et al.]. Achieving the Recommended Endotracheal Tube Cuff Pressure: A Randomized Control Study Comparing Loss of Resistance Syringe to Pilot Balloon Palpation. Anesthesiology Research and Practice No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1125489
American Medical Association (AMA)
Bulamba, Fred& Kintu, Andrew& Ayupo, Nodreen& Kojjo, Charles& Ssemogerere, Lameck& Wabule, Agnes…[et al.]. Achieving the Recommended Endotracheal Tube Cuff Pressure: A Randomized Control Study Comparing Loss of Resistance Syringe to Pilot Balloon Palpation. Anesthesiology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1125489
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125489