Is Less More or Is It a Call for Evidence-Based Guidance?

Abstract

Experienced intensive care clinicians who reminiscence with rosy nostalgia about the care provided to patients who were critically ill and mechanically ventilated decades ago often highlight the frequent monitoring and handling of almost any airway device for respiratory care. In those years, ventilator circuits, in-line suction catheters, heat and moisture exchangers, and even endotracheal tubes were

Endotracheal tube cuff pressure changes during manual cuff pressure control manoeuvres: An in‐vitro assessment

“…Whether continuous cuff pressure regulators are superior to manual cuff pressure manometers to prevent VAP or whether the reliable provision of continuous airway pressure is more efficient to prevent leakage past the tracheal tube, has to be confirmed by further studies. A very simple method to avoid frequent cuff pressure drops resulting from connection of a manual cuff pressure manometer is to monitor the cuff pressure less frequent, which was recently shown to result in similar clinical outcome in adults, but raising some questions …”