Submitted: 26 Sep 2018
Accepted: 08 Mar 2019
First published online: 13 Mar 2019
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J Cardiovasc Thorac Res. 2019;11(1):48-52.
doi: 10.15171/jcvtr.2019.08
PMID: 31024672
PMCID: PMC6477115
  Abstract View: 198
  PDF Download: 248

Original Article

Comparison of tracheal tube cuff pressure with two technique: fixed volume and minimal leak test techniques

Sarvin Sanaie 1, Farzad Rahmani 2, Sara Chokhachian 3, Ata Mahmoodpoor 4, Jafar Rahimi Panahi 4, Robab Mehdizadeh Esfanjani 5, Masomeh Mirzaei 2, Hassan Soleimanpour 6 *

1 Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
2 Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
3 Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
4 Anesthesiology Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
5 Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
6 Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: There is a correlation between endotracheal cuff pressure and airway complication; therefore, cuff pressure measurement is of an essential importance. The gold standard technique is measuring the cuff pressure by a calibrated manometer. However, there are several methods that injects air into balloon pilot and measures the cuff pressure. The aim of this study is to compare the tracheal cuff pressure measurement by two methods: fixed volume and minimal leak test (MLT).

Methods: This descriptive study was performed at the emergency department on 110 patients. Patients were randomized into two groups. For one group, fixed volume technique and for the other group MLT was used.

Results: Mean cuff pressure was 46.07±23.54 cmH2O in the fixed volume group and 33.72±9.14 cmH2O in the MLT group (P=0.05) which is significantly higher in the fixed volume group (P=0.028). In addition, 56.4% and 78.2% of the subjects had normal cuff pressure in the fixed volume group and MLT group, respectively; indicating a significantly higher rate in MLT group (P=0.025).

Conclusion: Both techniques cause above normal intracuff pressure; however, MLT produces more acceptable pressure than fixed volume. It seems that the volume of 10 cc produces high pressures; therefore, fixed values may yield more appropriate results in lower volumes.

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