Cargando…
Evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass
Introduction: Tracheal intubation is used for most operations under general anesthesia. Prolonged hyperinflation of the tube cuff can compromise tracheal mucosal perfusion, and low pressure of the cuff may cause some other complications. The aim of this study was the evaluation of changes in intra-c...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tabriz University of Medical Sciences
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278193/ https://www.ncbi.nlm.nih.gov/pubmed/37342664 http://dx.doi.org/10.34172/jcvtr.2023.31733 |
_version_ | 1785060432110682112 |
---|---|
author | Mahoori, Alireza Khanahmadi, Shahriar Khanahmadi, Shima Parvin Karami, Nasim Mokhtarzadehazar, Peyman |
author_facet | Mahoori, Alireza Khanahmadi, Shahriar Khanahmadi, Shima Parvin Karami, Nasim Mokhtarzadehazar, Peyman |
author_sort | Mahoori, Alireza |
collection | PubMed |
description | Introduction: Tracheal intubation is used for most operations under general anesthesia. Prolonged hyperinflation of the tube cuff can compromise tracheal mucosal perfusion, and low pressure of the cuff may cause some other complications. The aim of this study was the evaluation of changes in intra-cuff pressure in patients undergoing cardiac surgeries under cardiopulmonary bypass. Methods: In an observational study 120 patient’s candidate to cardiac operations under cardiopulmonary bypass were enrolled. After induction of anesthesia and tracheal intubation by same tracheal tubes, tracheal tube cuff pressure was adjusted to 20-25 mm Hg (T0). Then the cuff pressure was measured at beginning of CPB (Cardio Pulmonary Bypass) (T1), at 30º hypothermia (T2) and after separation from CPB (T3). Results: The mean cuff pressure was 33.5±7.3, 28.9±5.4, 25.6±5.2 and 28.1±3.7 at T0, T1, T2 and T3 respectively. Intra- cuff pressure changed significantly during cardiopulmonary bypass. Conclusion: The mean intra-cuff pressure was decreased during hypothermic cardiopulmonary bypass. The decrease in cuff pressure may protect the tracheal mucosa against hypotensive ischemic injury in these patients. |
format | Online Article Text |
id | pubmed-10278193 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Tabriz University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-102781932023-06-20 Evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass Mahoori, Alireza Khanahmadi, Shahriar Khanahmadi, Shima Parvin Karami, Nasim Mokhtarzadehazar, Peyman J Cardiovasc Thorac Res Original Article Introduction: Tracheal intubation is used for most operations under general anesthesia. Prolonged hyperinflation of the tube cuff can compromise tracheal mucosal perfusion, and low pressure of the cuff may cause some other complications. The aim of this study was the evaluation of changes in intra-cuff pressure in patients undergoing cardiac surgeries under cardiopulmonary bypass. Methods: In an observational study 120 patient’s candidate to cardiac operations under cardiopulmonary bypass were enrolled. After induction of anesthesia and tracheal intubation by same tracheal tubes, tracheal tube cuff pressure was adjusted to 20-25 mm Hg (T0). Then the cuff pressure was measured at beginning of CPB (Cardio Pulmonary Bypass) (T1), at 30º hypothermia (T2) and after separation from CPB (T3). Results: The mean cuff pressure was 33.5±7.3, 28.9±5.4, 25.6±5.2 and 28.1±3.7 at T0, T1, T2 and T3 respectively. Intra- cuff pressure changed significantly during cardiopulmonary bypass. Conclusion: The mean intra-cuff pressure was decreased during hypothermic cardiopulmonary bypass. The decrease in cuff pressure may protect the tracheal mucosa against hypotensive ischemic injury in these patients. Tabriz University of Medical Sciences 2023 2023-03-16 /pmc/articles/PMC10278193/ /pubmed/37342664 http://dx.doi.org/10.34172/jcvtr.2023.31733 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Mahoori, Alireza Khanahmadi, Shahriar Khanahmadi, Shima Parvin Karami, Nasim Mokhtarzadehazar, Peyman Evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass |
title | Evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass |
title_full | Evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass |
title_fullStr | Evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass |
title_full_unstemmed | Evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass |
title_short | Evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass |
title_sort | evaluation of the endotracheal tube cuff pressure changes during cardiac operations under cardiopulmonary bypass |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278193/ https://www.ncbi.nlm.nih.gov/pubmed/37342664 http://dx.doi.org/10.34172/jcvtr.2023.31733 |
work_keys_str_mv | AT mahoorialireza evaluationoftheendotrachealtubecuffpressurechangesduringcardiacoperationsundercardiopulmonarybypass AT khanahmadishahriar evaluationoftheendotrachealtubecuffpressurechangesduringcardiacoperationsundercardiopulmonarybypass AT khanahmadishima evaluationoftheendotrachealtubecuffpressurechangesduringcardiacoperationsundercardiopulmonarybypass AT parvinkaraminasim evaluationoftheendotrachealtubecuffpressurechangesduringcardiacoperationsundercardiopulmonarybypass AT mokhtarzadehazarpeyman evaluationoftheendotrachealtubecuffpressurechangesduringcardiacoperationsundercardiopulmonarybypass |