Farzad Rahmani
1, Hassan Soleimanpour
1*, Ali Zeynali
2, Ata Mahmoodpoor
3, Kavous Shahsavari Nia
4, Jafar Rahimi Panahi
3, Sarvin Sanaei
5, Maryam Soleimanpour
6, Robab Mehdizadeh Esfanjani
71 Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
3 Anesthesiology Research Team, Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran
4 Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
5 Tuberculosis and Lung Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
6 Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
7 Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Introduction: Filling tracheal tube cuff (TTC) after intubation is necessary to provide a safe airway in intubated patients. On the other hand, excessive increase or decrease in the pressure of TTC’s balloon leads into the dangerous complications such as necrosis and/or aspiration. Accordingly, in the present study, we tried to evaluate the most two common fixed volume and pilot balloon palpitation methods to control TTC pressure.
Methods: In a prospective cross-sectional study that was carried out in the emergency department of Tabriz Imam Reza hospital upon 194 patients who needed intubation and from April 2015 to June 2016. The patients were randomly allocated into two equal groups. For the first the Pilot Balloon Palpation technique and for the second group 10 cc fixed volume cuff filling technique was assigned. After that, the pressure was checked with manometer and data were analyzed using SPSS software.
Results: TTC pressure average in fixed volume group was 44.96±21.77 cmH2O and for palpation group, it was 118.15±22.15 cmH2O. There was a meaningful difference between two groups in terms of cuff inside pressure (P value <0.001) and it was meaningfully lower in fixed volume group than the first one.
Conclusion: The present study showed that pilot balloon palpation or fixed volume method was not appropriate methods to assess cuff pressure during intubation and the cuff pressure must be controlled by the manometer.