| Prehospital endotracheal intubation; need for routine cuff pressure measurement? | |
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MedLine Citation:
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PMID: 23100319 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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In endotracheal intubation, a secured airway includes an insufflated cuff distal to the vocal cords. High cuff pressures may lead to major complications occurring after a short period of time. Cuff pressures are not routinely checked after intubation in the prehospital setting, dealing with a vulnerable group of patients. We reviewed cuff pressures after intubation by Helicopter Emergency Medical Services and paramedics noted in a dispatch database. Initial cuff pressures are almost all too high, needing adjustment to be in the safe zone. Dutch paramedics lack manometers and, therefore, only few paramedic intubations are followed by cuff pressure measurements. We recommend cuff pressure measurements after all (prehospital) intubations and, therefore, all ambulances need to be equipped with cuff manometers. |
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Authors:
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Joost H Peters; Nico Hoogerwerf |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-25 |
Journal Detail:
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Title: Emergency medicine journal : EMJ Volume: - ISSN: 1472-0213 ISO Abbreviation: Emerg Med J Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100963089 Medline TA: Emerg Med J Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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