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J Clin Monit Comput. 2018 Jun;32(3):527-531. doi: 10.1007/s10877-017-0046-7. Epub 2017 Jul 22.

Comparison of endotracheal tube cuff pressure values before and after training seminar.

Author information

1
Department of Anesthesia and Reanimation, Atatürk Training and Research Hospital, Ankara, Turkey. draycaozcan@gmail.com.
2
Department of Anesthesia and Reanimation, Atatürk Training and Research Hospital, Ankara, Turkey.
3
Department of Anesthesia and Reanimation, Yıldırım Beyazit University, Ankara, Turkey.

Abstract

It is recommended that endotracheal cuff (ETTc) pressure be between 20 and 30 cm H2O. In this present study, we intend to observe average cuff pressure values in our clinic and the change in these values after the training seminar. The cuff pressure values of 200 patients intubated following general anesthesia induction in the operating theatre were measured following intubation. One hundred patients whose values were measured before the training seminar held for all physician assistants, and 100 patients whose values were measured after the training seminar were regarded as Group 1 and Group 2, respectively. Cuff pressures of both groups were recorded, and the difference between them was shown. Moreover, cuff pressure values were explored according to the working period of the physician assistants. There was no significant difference between the groups in terms of age, gender and tube diameters. Statistically significant difference was found between cuff pressure values before and after the training (p < 0.001). Average pressure measure for Group I was 54 cm H2O, while average pressure in Group II declined to 33 cm H2O. It was observed that as the working period and experience of physician assistants increased, cuff pressure values decreased, however no statistically significant different was found (p < 0.375). We believe that clinical experience does not have significant effects on cuff pressure and that training seminars held at intervals would prevent high cuff pressure values and potential complications.

KEYWORDS:

Cuff pressure; Endotracheal intubation; General anesthesia; Training seminar

PMID:
28733939
DOI:
10.1007/s10877-017-0046-7

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