Evaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)

BACKGROUND AND OBJECTIVE: At present despite of wide spread application of tracheal tube with low-pressure cuff, complications of tracheal intubation have not disappeared. The main factor in post intubation tracheal stenosis is high cuff pressure that can cause stimulation and damage of trachea muco...

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Autores principales:	N Nikbakhsh, E Alijanpour, Y Mortazavi, N Organji
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2010
Materias:	tracheal intubation tracheal tube cuff pressure tracheal stenosis hospitalized patients intensive care unit Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/75425c4cc5fa4f3ba6d9dc27ee1f26a6
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spelling	oai:doaj.org-article:75425c4cc5fa4f3ba6d9dc27ee1f26a62021-11-10T09:00:22ZEvaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)1561-41072251-7170https://doaj.org/article/75425c4cc5fa4f3ba6d9dc27ee1f26a62010-06-01T00:00:00Zhttp://jbums.org/article-1-3475-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: At present despite of wide spread application of tracheal tube with low-pressure cuff, complications of tracheal intubation have not disappeared. The main factor in post intubation tracheal stenosis is high cuff pressure that can cause stimulation and damage of trachea mucosa and thus, it causes scar after extubation. This study was done to define the complications of pressure effects of tracheal tube cuff on trachea. METHODS: This study is a cross-sectional study over 60 patients of ICU, who have been intubated for ≥24 h. In this study cuff pressure was measured every 6h by a cuff pressure monitor and were registered. Then after 2h, 24h, one weak, one month and 3 months after extubation, patients were followed. Presence of cough, stridor and dyspnea were registered. Any doubt of tracheal stenosis was followed by rigid bronchoscopy. Data was recorded and assessed.FINDINGS: The mean age of patients was 45.36±11.3 years that 37 (61.66%) were male and 23 (38.3%) were female. Among patients without pulmonary disease, there were 16 patients (26.66%) with cough and stridor in the first 2 or 24h of extubation but all of them became asymptomatic in following up. Except one patient that because of cough, stridor and dyspnea in the first 24h was undergone rigid bronchoscopy with finding of atelectasis and collaps of lung, no tracheal stenosis or its complications were found.CONCLUSION: It seems that maintenance of cuff pressure in the range of 20-30cm H2O and its regular monitoring is the best method for prevention of cuff pressure complications.N Nikbakhsh,E AlijanpourY Mortazavi,N OrganjiBabol University of Medical Sciencesarticletracheal intubationtracheal tube cuff pressuretracheal stenosishospitalized patientsintensive care unitMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 12, Iss 2, Pp 30-34 (2010)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	tracheal intubation tracheal tube cuff pressure tracheal stenosis hospitalized patients intensive care unit Medicine R Medicine (General) R5-920
spellingShingle	tracheal intubation tracheal tube cuff pressure tracheal stenosis hospitalized patients intensive care unit Medicine R Medicine (General) R5-920 N Nikbakhsh, E Alijanpour Y Mortazavi, N Organji Evaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)
description	BACKGROUND AND OBJECTIVE: At present despite of wide spread application of tracheal tube with low-pressure cuff, complications of tracheal intubation have not disappeared. The main factor in post intubation tracheal stenosis is high cuff pressure that can cause stimulation and damage of trachea mucosa and thus, it causes scar after extubation. This study was done to define the complications of pressure effects of tracheal tube cuff on trachea. METHODS: This study is a cross-sectional study over 60 patients of ICU, who have been intubated for ≥24 h. In this study cuff pressure was measured every 6h by a cuff pressure monitor and were registered. Then after 2h, 24h, one weak, one month and 3 months after extubation, patients were followed. Presence of cough, stridor and dyspnea were registered. Any doubt of tracheal stenosis was followed by rigid bronchoscopy. Data was recorded and assessed.FINDINGS: The mean age of patients was 45.36±11.3 years that 37 (61.66%) were male and 23 (38.3%) were female. Among patients without pulmonary disease, there were 16 patients (26.66%) with cough and stridor in the first 2 or 24h of extubation but all of them became asymptomatic in following up. Except one patient that because of cough, stridor and dyspnea in the first 24h was undergone rigid bronchoscopy with finding of atelectasis and collaps of lung, no tracheal stenosis or its complications were found.CONCLUSION: It seems that maintenance of cuff pressure in the range of 20-30cm H2O and its regular monitoring is the best method for prevention of cuff pressure complications.
format	article
author	N Nikbakhsh, E Alijanpour Y Mortazavi, N Organji
author_facet	N Nikbakhsh, E Alijanpour Y Mortazavi, N Organji
author_sort	N Nikbakhsh,
title	Evaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)
title_short	Evaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)
title_full	Evaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)
title_fullStr	Evaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)
title_full_unstemmed	Evaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)
title_sort	evaluation of tracheal tube cuff pressure complications in icu patients of shahid beheshti hospital (2007-2008)
publisher	Babol University of Medical Sciences
publishDate	2010
url	https://doaj.org/article/75425c4cc5fa4f3ba6d9dc27ee1f26a6
work_keys_str_mv	AT nnikbakhsh evaluationoftrachealtubecuffpressurecomplicationsinicupatientsofshahidbeheshtihospital20072008 AT ealijanpour evaluationoftrachealtubecuffpressurecomplicationsinicupatientsofshahidbeheshtihospital20072008 AT ymortazavi evaluationoftrachealtubecuffpressurecomplicationsinicupatientsofshahidbeheshtihospital20072008 AT norganji evaluationoftrachealtubecuffpressurecomplicationsinicupatientsofshahidbeheshtihospital20072008
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Evaluation of Tracheal Tube Cuff Pressure Complications in ICU Patients of Shahid Beheshti hospital (2007-2008)

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