Document Detail


Prehospital endotracheal intubation; need for routine cuff pressure measurement?
MedLine Citation:
PMID:  23100319     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Joost H Peters; Nico Hoogerwerf
Related Documents :
6705549 - Effects of aerosolized lidocaine on circulatory responses to laryngoscopy and tracheal ...
3136789 - Respiratory and cardiovascular effects in relation to plasma levels of midazolam and di...
3499159 - Acute ventilatory changes during i.v. induction of anaesthesia with thiopentone or prop...
23044739 - A systematic technical review of the systems for the continuous positive airway pressure.
21033209 - Is propofol sedation with midazolam induction safe during endoscopic procedures without...
1443739 - The influence of propofol with and without nitrous oxide on cerebral blood flow velocit...
2665589 - Detrimental effects of positive end-expiratory pressure during controlled mechanical ve...
23817839 - Anti-hypertensive treatment in pheochromocytoma and paraganglioma: current management a...
2000959 - Method for studying arterial wave transmission effects on left ventricular function.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-25
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  -     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The effectiveness of a specially designed shoulder chair for closed reduction of acute shoulder disl...
Next Document:  A proposal for field-level medical assistance in an international humanitarian response to chemical,...