| Tracheal tube cuff pressure depends on the anaesthesiologist's experience. A follow-up study. | |
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MedLine Citation:
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PMID: 20201339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Excessive tracheal tube cuff pressure can cause ischemia of the tracheal mucosa, and possible serious complications, such as tracheal stenosis, formation of tracheo-oesophageal fistula or even life-threatening haemorrhage. Inadequate cuff pressure increases the risk of aspiration of gastric contents. METHODS: The cuff pressures were analysed on the basis of the anaesthesiologists' experience. The results were compared to those obtained during the previous study which had been conducted seven years earlier (2002). The physicians were divided into three groups, according to their experience: group I - less than 2 years of practice; group II--2 to 10 years of practice; and group III--over 10 years of practice. High-volume, low-pressure tubes were used for intubation. The anaesthesiologists were not informed of the planned audit. RESULTS: Statistical analysis demonstrated significant differences between cuff pressure readings in the respective study groups. Cuff pressures in group II (p < 0.05) and group III (p < 0.0005) were greater than those in group I. In 2002, no statistically significant differences had been observed between the three groups (p = 0.1156). When comparing results from 2002 and present one differences were observed inside individual groups, concerning group II (p < 0.05) and group III (p < 0.0005). CONCLUSION: There is a tendency to overinflation of endotracheal tube cuffs in all groups. This problem is more common in the group of highly experienced anaesthesiologists, and is more more prevalent at present than in 2002. |
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Authors:
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Magdalena A Wujtewicz; Wioletta Sawicka; Radosław Owczuk; Anna Dylczyk-Sommer; Maria Wujtewicz |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Anestezjologia intensywna terapia Volume: 41 ISSN: 0209-1712 ISO Abbreviation: Anestezjol Intens Ter Publication Date: 2009 Oct-Dec |
Date Detail:
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Created Date: 2010-03-05 Completed Date: 2010-04-09 Revised Date: 2012-10-05 |
Medline Journal Info:
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Nlm Unique ID: 9424972 Medline TA: Anestezjol Intens Ter Country: Poland |
Other Details:
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Languages: eng Pagination: 205-8 Citation Subset: IM |
Affiliation:
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Department of Anaesthesiology and Intensive Therapy, Medical University of Gdańsk. magwuj@ang.gda.pl |
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence
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statistics & numerical data* Equipment Design Follow-Up Studies Humans Intubation, Intratracheal / adverse effects, instrumentation, methods* Ischemia / etiology Physician's Practice Patterns / statistics & numerical data* Poland Pressure Trachea / blood supply Tracheal Stenosis / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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