Conhecimento teórico-prático da equipe assistente sobre manejo e pressão do balonete endotraqueal

Stanzani, Vera Lúcia Taveira de Souza; Ribeiro, Raquel; Silva, Elaine Silvino; Pinto, Walquiria Macedo

doi:10.5585/conssaude.v8i1.1500

Cited by 4 publications

(7 citation statements)

References 15 publications

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“…For the external cuff as a daily verification factor, 61% stated that they use it, despite being an inappropriate procedure, in addition to syringes and cuffometers. Among physiotherapists, 100% responded correctly about insufflation procedures, however many do not do the techniques frequently 9 …”

Section: Discussionmentioning

confidence: 99%

Effects of anesthesiologists awareness on the control of cuff pressure in patients submitted to cardiac surgery

et al. 2020

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Introduction Sedatives applied to cardiac surgery patients can act on the respiratory tract, creating a demand for a tracheal prosthesis in the artificial route, whose distal part (cuff) has a recommended pressure of 20 to 25 mm Hg. The professional's lack of knowledge about procedures and adequate pressure can pose risks to patients' health. Objective To analyze the effect of anesthesiologists awareness on the control of cuff pressure. Methodology A prospective cohort study. At the beginning of the research, cuff pressures were consecutively measured immediately after the patient's admission to the intensive care unit (ICU). After this period, anesthesiologists were trained by the responsible researchers for 1 month. In the final 2.5 months of the research, cuff pressure was again measured immediately after the patient's admission to the ICU. Results A total of 70 patients were evaluated, 37 of whom were pre‐awareness and 33 were post‐awareness. Male sex was the most prevalent with 46 (66%) patients and the mean age was 58 ± 10 years. There was a reduction from 76 ± 14 to 28 ± 9 in cuff pressure (P < .01). Conclusion The training of anesthesiologists who assist cardiac surgery patients allowed a reduction in cuff pressure abnormalities.

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Section: Discussionmentioning

confidence: 99%

Effects of anesthesiologists awareness on the control of cuff pressure in patients submitted to cardiac surgery

et al. 2020

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“…Stanzani e colaboradores [41], em 2009, concluíram que os profissionais da equipe multidisciplinar do Hospital do Servidor Público Estadual, avaliados neste estudo, apresentavam adequado conhecimento do manejo e dos cuidados com as pressões de balonete endotraqueal; porém, pouco se utilizavam dele em suas condutas clínicas diárias. O conhecimento das repercussões tardias, especialmente, revelou-se insuficiente, ressaltando a necessidade de protocolos e conscientização dos profissionais.…”

Section: I S C U S S ã Ounclassified

Intervenção educacional relacionada à rotina de mensuração do balonete endotraqueal em um hospital universitário

Carvalho

Oliveira

2013

Rev. Cult. Ext. USP

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O suporte ventilatório mecânico invasivo promove benefícios. Entretanto, procedimentos que envolvem sua instituição podem gerar lesões em graus variáveis. A pressão do balonete que envolve o tubo traqueal, impedindo escape aéreo, não deve exceder à pressão de perfusão traqueal nem estar reduzida, a ponto de permitir a passagem de micro-organismos, ocasionando lesões teciduais e pneumonia aspirativa, respectivamente. A vigilância desta pressão como rotina de prevenção de complicações não é realizada em diversas unidades de tratamento intensivo. Assim, enfatizar estratégias preventivas parece ser um modo razoável de minimizá-las. A intervenção educacional objetiva difundir o conhecimento e valorizar aspectos importantes para melhoria da qualidade da assistência em saúde e promover redução das taxas de reintubação, tempo de internação hospitalar, morbi-mortalidade e custos hospitalares. O objetivo foi o de promover uma ação educacional, por meio da divulgação de instrumento informativo não verbal, no ambiente hospitalar. Valores obtidos dentro da faixa de normalidade esperada das pressões de cuff sofreram acréscimo de 11,36% para 20,51% após a intervenção. Assim, o modelo de intervenção educacional atingiu o objetivo esperado, embora seja recomendado e desejável que outras intervenções estejam futuramente associadas, visando complementar e enfatizar a importância da técnica para que haja benefícios mais expressivos neste âmbito.Palavras-chave: Balonete endotraqueal. Intervenção educacional. Equipe multiprofissional. A B S T R A C TThe invasive mechanical ventilation support promotes clear benefits. However, procedures involved in its institution can generate lesions in varying degrees. The cuff pressure surrounding the tracheal tube prevents air leakage and should not exceed tracheal perfusion pressure and should not be reduced also, allowing the passage of

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“…The skin and mucosal lesions associated with orotracheal intubation may be caused from the intubation procedure, that is, early lesions, such as extraction, avulsion of the vocal folds, lesions on the corner of the lips, tongue and throat, tears in epiglottis, vocal cords, esophagus and trachea, tracheal and glottis edema, tracheal ischemia, bruises and tracheitis (3)(4)(5) . However, most incident injuries are tracheomalacia, tracheal necrosis and stenosis, laryngeal and vocal cords ulcers, paresis and paralysis of vocal cords, tracheoesophageal fistula and granuloma, all related to the greater length of time device use (3,(6)(7)(8) .…”

Section: Introductionmentioning

confidence: 99%

“…However, most incident injuries are tracheomalacia, tracheal necrosis and stenosis, laryngeal and vocal cords ulcers, paresis and paralysis of vocal cords, tracheoesophageal fistula and granuloma, all related to the greater length of time device use (3,(6)(7)(8) . Furthermore, the intubation procedure can lead to complications in clinical status of patients, including: severe hypoxia, severe hypotension, esophageal intubation, aspiration, cardiac arrest and death (9) .…”

Section: Introductionmentioning

confidence: 99%

“…The high percentage of professionals who did not perform it can be associated to lack of endotracheal tube cuff-pressure monitor, ignorance or lack of concern with regard to possible complications caused by not checking and assess the cuff (24) . Most professionals using the method of digital palpation, which does not provide the measurement precision of the cuff pressure (3,25) . Although they do not use the appropriate measurement method, the professional do it once a shift, which is consistent with the guidelines of the area (21) , which recommends the measurement of cuff pressure performed at least three times a day.…”

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Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devices

Pinto

Schons

Busanello

et al. 2015

Rev. esc. enferm. USP

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Objective:To analyze the care implemented by the nursing team to promote the safety of adult patients and prevention of skin and mucosal lesions associated with the presence of lower airways invasive devices. Method: Study with qualitative and quantitative approach, descriptive and exploratory type, whose investigative scenarios were adult inpatient units of a hospital in the West Frontier of Rio Grande do Sul. The study subjects consisted of nurses, nursing technicians and nursing assistants. Results: A total of 118 professionals were interviewed. We highlight the observed specific care with endotracheal tube and tracheostomy, management and assessment of the cuff and the criteria used to secretion aspiration. Conclusion: There is a superficial nursing work in the patient direct care and a differentiation in relation to the perception of nurse technicians, especially those working in the intensive care unit, who presented major property and view of the patient's clinical status. DESCRIPTORS Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devicesSegurança do paciente e a prevenção de lesões cutâneo-mucosas associadas aos dispositivos invasivos nas vias aéreas La seguridad del paciente y la prevención de lesiones cutáneo-mucosas asociadas con los dispositivos invasivos en las vías aéreas INTRODUCTIONHospitalized patients in clinical units or intensive care units at some point may require the use of an airway device to replace or assist in maintaining ventilation. The use of an endotracheal tube (ET) and/or tracheostomy tube are the main instruments that composes this maintenance, allowing oxygen installation, removal of secretions and mechanical ventilation.Facing the use of these invasive devices, patients can be subjected to cutaneous and mucosal lesions in upper and lower airways. Thus, we highlight aspects related to patient safety and the onset of these adverse events that may result from the length of use, above all, the list of complex care required to maintain these devices, in which minimum failures can be translated in irreparable damage to the patient.Patient safety is aimed at reducing unnecessary harm, involving the practical actions that minimize the complications to the context and devices from which care is provided (1) . Still, patient safety is related to the actions to ensure the integrity of people, preventing adverse events and the prevention of errors, thus promoting a safer patient care (2) . Thus, care processes that permeate the care of patients who use these devices, especially those airways invasive, should focus on reducing the risk of skin and mucosal, oropharyngeal, laryngopharyngeal, laryngeal and tracheal lesions. These measures ensure the airway maintenance, important for therapy, avoiding possible temporary or permanent damage, longer hospitalizations and, consequently, the patient's suffering.Considering the security for the prevention of skin and mucosal lesions in patients undergoing lower airways invasive devices, there...

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Conhecimento teórico-prático da equipe assistente sobre manejo e pressão do balonete endotraqueal

Cited by 4 publications

References 15 publications

Effects of anesthesiologists awareness on the control of cuff pressure in patients submitted to cardiac surgery

Effects of anesthesiologists awareness on the control of cuff pressure in patients submitted to cardiac surgery

Intervenção educacional relacionada à rotina de mensuração do balonete endotraqueal em um hospital universitário

Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devices

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