Aspects of in vivo endotracheal tube intracuff pressure in cats

Bird, Alice; Bird, D. J.; McMillan, Matt

doi:10.1016/j.vaa.2018.06.017

Cited by 10 publications

(22 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is important to note that using this technique, most of these ETT cuffs were over-inflated. This result is in agreement with other studies in dogs (16) and cats (17). The unique finding of our study, however, was that the use of the commercial ETT cuff inflation syringes equipped with pressure indication devices significantly reduced the incidence of improper ETT cuff inflation when compared with the use of regular injectable syringes coupled with MOV technique.…”

Section: Discussionsupporting

confidence: 93%

“…Very little information has been described by the manufacturer in the veterinary silicone endotracheal tubes used in this study. In Briganti's study, they used the same type of silicone tube as we did in our study (17). These authors specifically pointed out that the silicone tubes should be considered separately since it does not fall perfectly within the LVHP classification.…”

Section: Discussionmentioning

confidence: 92%

“…These authors specifically pointed out that the silicone tubes should be considered separately since it does not fall perfectly within the LVHP classification. They also pointed out that several versions of the silicone tubes used in humans (similar to the ones used in this study) are defined as low-volume low-pressure tubes with high elasticity (17,38,39). As Briganti et.…”

Section: Discussionmentioning

confidence: 94%

“…In a prospective clinical study in dogs, Briganti et al found that the percentage of ETT cuff pressures exceeding the normal cuff pressure range (defined as 19-24 mmHg in the study) while using the MOV technique was 65.5% for silicone tubes and 37% for polyvinyl chloride tubes (17). While our study results are in agreement with that study, the frequency of over-inflation of the ETT cuff in our study (76%) was higher than that reported in Briganti's study (17). This discrepancy is likely due to the different definitions of the normal ETT cuff pressure (19-24 mmHg [25.8-32.6 cmH 2 O] vs. 20-30 cmH 2 O) used for each study.…”

Section: Discussionmentioning

confidence: 96%

“…It is performed by inflating the ETT cuff with a regular injectable syringe until there is no audible air leakage noise when applying a positive airway pressure of 15-30 cmH 2 O in a breathing circuit (12,16). However, in the recent studies in dogs and cats, it was found that the MOV technique was inaccurate in inflating the ETT cuff to the recommended cuff pressure and tended to over-inflate the ETT cuff (17,18). Currently, there are several commercial syringe devices specifically designed for ETT cuff inflation with pressure values shown on the syringe device.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Evaluation of Endotracheal Tube Cuff Pressure and the Use of Three Cuff Inflation Syringe Devices in Dogs

Hung

Weil

et al. 2020

Front. Vet. Sci.

View full text Add to dashboard Cite

Over-inflation of an endotracheal tube (ETT) cuff may lead to tracheal mucosal irritation, tracheal wall ischemia or necrosis, whereas under-inflation increases the risk of pulmonary aspiration as well as leaking anesthetic gas and polluting the environment. The objectives of this two-phase study were to (1) identify the incidence of improper ETT cuff inflation (both over-and under-inflation) using the minimum occlusive volume (MOV) technique coupled with a regular injectable syringe in the anesthetized dogs, and (2) evaluate the performance of two commercially available inflation syringe devices (Tru-Cuff and AG Cuffill ®) with the regular injectable syringe in inflating the ETT cuff to a recommended safe cuff pressure range (20-30 cmH 2 O). Dogs undergoing general anesthesia at Purdue Veterinary Medicine Teaching Hospital were included. The ETT cuff pressure was assessed with an aneroid manometer after the syringe inflation. The results of the first objective showed that a total of 80 dogs enrolled and that 50 of these 80 dogs required ETT cuff inflation. Among the 50 dogs, only 14% had proper ETT cuff inflation; 76% of the ETT cuffs were over-inflated and 10% were under-inflated. Ninety dogs were enrolled for the second objective study and they were randomly and equally assigned to the three syringe device treatment groups. The results showed that 80% of the ETT cuffs were over-inflated in the regular injectable syringe treatment group, whereas only 6.7% and 3.3% ETT cuffs were over-inflated in the Tru-Cuff and AG Cuffill ® syringe treatment groups, respectively. The AG Cuffill ® syringe treatment group had a significantly (p < 0.05) higher percentage of properly inflated ETT cuffs (86.7%) compared to the other two groups (regular injectable syringe [3.3%]; Tru-Cuff syringe [50%]. We concluded that there was a high incidence of improper ETT cuff inflation when using MOV technique coupled with a regular injectable syringe. The use of an AG Cuffill ® syringe significantly reduced improper ETT cuff inflation.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 96%