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Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks

BACKGROUND:  In perioperative care or intensive care units, the expansion lines of endotracheal tubes (ETTs) or laryngeal mask airways (LMAs) may be accidentally cut off during medical procedures. We designed a simple method for repairing damaged ETT and LMA expansion lines. METHODS:  In this in vit...

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Autores principales: Wang, Tingting, Wang, Jiang, Lu, Yao, Liu, Xuesheng, Chen, Shangui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316419/
https://www.ncbi.nlm.nih.gov/pubmed/35883053
http://dx.doi.org/10.1186/s12871-022-01776-5
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author Wang, Tingting
Wang, Jiang
Lu, Yao
Liu, Xuesheng
Chen, Shangui
author_facet Wang, Tingting
Wang, Jiang
Lu, Yao
Liu, Xuesheng
Chen, Shangui
author_sort Wang, Tingting
collection PubMed
description BACKGROUND:  In perioperative care or intensive care units, the expansion lines of endotracheal tubes (ETTs) or laryngeal mask airways (LMAs) may be accidentally cut off during medical procedures. We designed a simple method for repairing damaged ETT and LMA expansion lines. METHODS:  In this in vitro study, ETT (n = 20) or LMA (n = 20) models were each categorized into experimental (n = 10) and control (n = 10) groups. In the experimental groups, the expansion lines were cut in the middle, and a 22G intravenous catheter was inserted into the broken end of each expansion line. The time taken to repair the expansion lines was recorded in both experimental groups. The repaired expansion lines in both groups were tested for visible underwater air leakage with cuffs under high pressure (120 cm H2O). After 15 h, the cuff pressure and tensile strength of the expansion lines were measured. RESULTS:  The overall time required to repair the expansion line was 27.8 ± 1.5 s in the ETT group and 20.4 ± 1.1 s in the LMA group. When the cuff pressure was increased to 120 cmH(2)O, no air leakage was observed in the experimental LMA and ETT groups. The mean difference in the cuff pressures of the control and experimental groups was insignificant for both, ETT (9.50 ± 1.29 vs. 9.50 ± 1.08 cmH(2)O, 95% CI =  − 1.11 to 1.11 cmH(2)O, P = 1.00) and LMA (34.1 ± 1.10 cmH(2)O vs. 34.5 ± 0.97 cmH(2)O, 95% CI =  − 0.57 to 1.37 cmH(2)O, P = 0.40) groups, The tensile strength and the force required to pull apart the expansion lines in the experimental groups were lower than those in the control groups for ETTs (3.32 ± 0.37 N vs. 35.03 ± 4.47 N, 95% CI =  − 34.69 to − 28.72 N, P < 0.0001) and LMAs (36.55 ± 2.20 N vs. 26.18 ± 1.67 N, 95% CI =  − 12.21 to − 8.53 N, P < 0.0001). CONCLUSION:  An intravenous catheter can be directly inserted into the damaged ETT or LMA expansion lines; it is a simple, rapid, and effective repair method. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12871-022-01776-5.
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spelling pubmed-93164192022-07-27 Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks Wang, Tingting Wang, Jiang Lu, Yao Liu, Xuesheng Chen, Shangui BMC Anesthesiol Research BACKGROUND:  In perioperative care or intensive care units, the expansion lines of endotracheal tubes (ETTs) or laryngeal mask airways (LMAs) may be accidentally cut off during medical procedures. We designed a simple method for repairing damaged ETT and LMA expansion lines. METHODS:  In this in vitro study, ETT (n = 20) or LMA (n = 20) models were each categorized into experimental (n = 10) and control (n = 10) groups. In the experimental groups, the expansion lines were cut in the middle, and a 22G intravenous catheter was inserted into the broken end of each expansion line. The time taken to repair the expansion lines was recorded in both experimental groups. The repaired expansion lines in both groups were tested for visible underwater air leakage with cuffs under high pressure (120 cm H2O). After 15 h, the cuff pressure and tensile strength of the expansion lines were measured. RESULTS:  The overall time required to repair the expansion line was 27.8 ± 1.5 s in the ETT group and 20.4 ± 1.1 s in the LMA group. When the cuff pressure was increased to 120 cmH(2)O, no air leakage was observed in the experimental LMA and ETT groups. The mean difference in the cuff pressures of the control and experimental groups was insignificant for both, ETT (9.50 ± 1.29 vs. 9.50 ± 1.08 cmH(2)O, 95% CI =  − 1.11 to 1.11 cmH(2)O, P = 1.00) and LMA (34.1 ± 1.10 cmH(2)O vs. 34.5 ± 0.97 cmH(2)O, 95% CI =  − 0.57 to 1.37 cmH(2)O, P = 0.40) groups, The tensile strength and the force required to pull apart the expansion lines in the experimental groups were lower than those in the control groups for ETTs (3.32 ± 0.37 N vs. 35.03 ± 4.47 N, 95% CI =  − 34.69 to − 28.72 N, P < 0.0001) and LMAs (36.55 ± 2.20 N vs. 26.18 ± 1.67 N, 95% CI =  − 12.21 to − 8.53 N, P < 0.0001). CONCLUSION:  An intravenous catheter can be directly inserted into the damaged ETT or LMA expansion lines; it is a simple, rapid, and effective repair method. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12871-022-01776-5. BioMed Central 2022-07-26 /pmc/articles/PMC9316419/ /pubmed/35883053 http://dx.doi.org/10.1186/s12871-022-01776-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wang, Tingting
Wang, Jiang
Lu, Yao
Liu, Xuesheng
Chen, Shangui
Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks
title Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks
title_full Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks
title_fullStr Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks
title_full_unstemmed Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks
title_short Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks
title_sort efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316419/
https://www.ncbi.nlm.nih.gov/pubmed/35883053
http://dx.doi.org/10.1186/s12871-022-01776-5
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