지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 275 - 280 (6page)
이용수
초록· 키워드
오류제보하기
Background: Tracheal complications caused by excessive mucosal pressure from an inflated endotracheal tube are major concerns during anesthesia; hence, an intracuff pressure of 20–30 cmH2O is recommended as a clinically acceptable intracuff pressure. Diffusion of nitrous oxide (N2O) into the endotracheal tube cuff increases the intracuff pressure, which may also be influenced by the cuff shape. Therefore, we investigated whether the intracuff pressure of a tapered cuff was different from that of a cylindrical cuff in patients undergoing general anesthesia using 60% N2O. Methods: Twenty-six patients who underwent general anesthesia using 60% N2O in supine position were randomly allocated to the cylindrical cuff group (Group C) or tapered cuff group (Group T). The baseline intracuff pressure was set at 20 cmH2O, and measured every 10 minutes for 60 minutes. Results: The primary outcome was the intracuff pressure at 60 minutes after N2O exposure, which was 40 cmH2O in Group C (95% CI 36–44) and 40 cmH2O (95% CI 35–45) in Group T (P = 0.895). The lower confidence limit of the intracuff pressures in both groups exceeded 30 cmH2O at 60 minutes of N2O exposure, which is the upper limit for clinically acceptable intracuff pressure (20–30 cmH2O). Conclusions: There was no significant difference in the intracuff pressures between cylindrical and tapered cuffs. Continuous or frequent monitoring is recommended regardless of the duration of the 60% N2O exposure because the intracuff pressure can exceed 30 cmH2O within an hour.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Priebe HJ / 2016 / Could "safe practice" be compromising safe practice? Should anesthetists have to deflate the cuff of the endotracheal tube before extubation? / Minerva Anestesiol 82:236~239
Combes X / 2001 / Intracuff pressure and tracheal morbidity : influence of filling with saline during nitrous oxide anesthesia / Anesthesiology 95:1120~1124
Dobrin P / 1977 / Cuffed endotracheal tubes : mucosal pressures and tracheal wall blood flow / Am J Surg 133:562~568
Seegobin RD / 1984 / Endotracheal cuff pressure and tracheal mucosal blood flow : endoscopic study of effects of four large volume cuffs / Br Med J (Clin Res Ed) 288:965~968
American Thoracic Society / 2005 / Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia / Am J Respir Crit Care Med 171:388~416
Combes X / 2001 / Intracuff pressure and tracheal morbidity : influence of filling with saline during nitrous oxide anesthesia / Anesthesiology 95:1120~1124
Dobrin P / 1977 / Cuffed endotracheal tubes : mucosal pressures and tracheal wall blood flow / Am J Surg 133:562~568
Seegobin RD / 1984 / Endotracheal cuff pressure and tracheal mucosal blood flow : endoscopic study of effects of four large volume cuffs / Br Med J (Clin Res Ed) 288:965~968
American Thoracic Society / 2005 / Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia / Am J Respir Crit Care Med 171:388~416
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