Tracheal cuff pressure change before and after the performance of nursing care

Beccária, Lúcia Marinilza; Doimo, Thays Marley Antonio; Polletti, Nádia Aparecida Antonia; Barbosa, Taís Pagliuco; Silva, Daniele Cristiny da; Werneck, Alexandre Lins

doi:10.1590/0034-7167-2016-0486

Cited by 6 publications

(9 citation statements)

References 11 publications

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“…Kumar et al and Bulamba et al [ 189 , 190 ] proposed a pressure target of an ETT cuff at 20–30 cm H 2 O. The correct endotracheal cuff pressure must be less than the capillary perfusion pressure or less than 30 cm H 2 O [ 191 ]. Talekar et al [ 192 ] also suggested ETT cuff daily monitoring every 6–12 hours.…”

Section: Discussionmentioning

confidence: 99%

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Efendi

Natalia²,

Utami

et al. 2022

PLoS ONE

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Background The hospitalization of children during the COVID-19 pandemic has affected their physical and mental health. Pediatric nurses have faced challenges in providing high-quality nursing care for children and their families. However, the pediatric nursing care recommendations for COVID-19 patients in the hospital setting remain unclear. The current scoping review provides recommendations for nursing interventions for pediatric COVID-19 patients in the hospital setting. Methods and findings The selected articles containing management and nursing recommendations for COVID-19 that have occurred in pediatric patients ages 0–19 years old. A search strategy was developed and implemented in seven databases. We included peer-reviewed articles that reported observational or interventional studies, as well as policy papers, guides or guidelines, letters and editorials, and web articles. A total of 134 articles and other documents relevant to this review were included. We categorized the results based on The Nursing Intervention Classification (NIC) taxonomy which consists of six domains (e.g., Physiological: Basic); eleven classes (e.g., Nutrition Support); and eighteen intervention themes (e.g., Positioning, Family Presence Facilitation, Family Support, and Discharge Planning). Conclusion Apart from the intervention of physical problems, there is a need to promote patient- and family-centered care, play therapy, and discharge planning to help children and families cope with their new situation.

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Section: Discussionmentioning

confidence: 99%

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Efendi

Natalia²,

Utami

et al. 2022

PLoS ONE

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“…National guidelines recommend that cuff pressure be maintained between 20 and 30 cm H 2 O for air-filled cuffs, to avoid loss of tidal volume and prevent tracheal injury. [113][114][115] Hyperinflation of cuffs to avoid any air leak is not uncommon in patients who are COVID-19 positive but incurs risk Water cuffs are commonly used in pediatric otolaryngology patients. These are high-pressure, low-volume cuffs for which pressure cannot be monitored with a manometer.…”

Section: Cuff Managementmentioning

confidence: 99%

Multidisciplinary Safety Recommendations After Tracheostomy During COVID‐19 Pandemic: State of the Art Review

Meister

Pandian

Hillel

et al. 2020

Otolaryngol.--head neck surg.

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Objective In the chronic phase of the COVID-19 pandemic, questions have arisen regarding the care of patients with a tracheostomy and downstream management. This review addresses gaps in the literature regarding posttracheostomy care, emphasizing safety of multidisciplinary teams, coordinating complex care needs, and identifying and managing late complications of prolonged intubation and tracheostomy. Data Sources PubMed, Cochrane Library, Scopus, Google Scholar, institutional guidance documents. Review Methods Literature through June 2020 on the care of patients with a tracheostomy was reviewed, including consensus statements, clinical practice guidelines, institutional guidance, and scientific literature on COVID-19 and SARS-CoV-2 virology and immunology. Where data were lacking, expert opinions were aggregated and adjudicated to arrive at consensus recommendations. Conclusions Best practices in caring for patients after a tracheostomy during the COVID-19 pandemic are multifaceted, encompassing precautions during aerosol-generating procedures; minimizing exposure risks to health care workers, caregivers, and patients; ensuring safe, timely tracheostomy care; and identifying and managing laryngotracheal injury, such as vocal fold injury, posterior glottic stenosis, and subglottic stenosis that may affect speech, swallowing, and airway protection. We present recommended approaches to tracheostomy care, outlining modifications to conventional algorithms, raising vigilance for heightened risks of bleeding or other complications, and offering recommendations for personal protective equipment, equipment, care protocols, and personnel. Implications for Practice Treatment of patients with a tracheostomy in the COVID-19 pandemic requires foresight and may rival procedural considerations in tracheostomy in their complexity. By considering patient-specific factors, mitigating transmission risks, optimizing the clinical environment, and detecting late manifestations of severe COVID-19, clinicians can ensure due vigilance and quality care.

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“…It can be obtained from either tracheal aspirate, Broncho-alveolar Lavage (BAL), Mini-BAL or Protected Brush Specimens (PBS), each having sensitivity and specificity. (Beccaria et al, 2017) Positioning of the endotracheal tube is usually the responsibility of the physician, but in the intensive care units, nurses are overwhelmed to care for the endotracheal tube that will include the management of secretions, maintaining the position of the endotracheal tube, ensuring correct cuff pressures, prevention of complications and managing complications when they do occur after consulting the responsible physician. (Wen et al, 2019) The intensive care nurse has always been occupied with the prevention of ventilator-associated pneumonia.…”

Section: (Green Et Al 2017)mentioning

confidence: 99%

Analysis of endotracheal tube cuff pressure measurements and incidence of ventilator associated pneumonia

Mohammed

Mohamed

Osama

2021

Assiut Scientific Nursing Journal

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The importance of cuff pressure in endotracheal tube management cannot be overstated. Guidelines recommend that a cuff pressure should be in a range of 20 to 30 cm H 2 O. Low cuff pressure increase risk for micro-aspiration of subglottic secretions. This micro-aspiration is considered the major pathogenic mechanism for ventilator-associated pneumonia, complication with marked morbidity and mortality. Aim: This study was carried out to determine the relation between endotracheal tube cuff pressure and the incidence of ventilator-associated pneumonia. Design: Descriptive research design. Setting: In two critical care units at Assiut Main University Hospital: Trauma ICU and general ICU. Subjects: A convenience sample of 60 critically ill patients. Tools: Three tools were utilized to collect data of study, Tool I: Patient assessment sheet. Tool II: Endotracheal tube cuff pressure measurements. Tool III: Ventilator-associated pneumonia assessment sheet. Method: The researcher used preparatory, implementation and evaluation phases to implement this study. Results: Finding of the present study revealed that there was significant statistical relationship between endotracheal tube cuff pressure and incidence of ventilator associated pneumonia with (P value < 0.05). Conclusion: There is a significant statistical relation between endotracheal tube cuff pressure and incidence of ventilator-associated pneumonia. Recommendations: Endotracheal tube cuff pressure measurements should be standardized as a basic part of care provided to all critically ill patients in intensive care units.

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Tracheal cuff pressure change before and after the performance of nursing care

Cited by 6 publications

References 11 publications

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Multidisciplinary Safety Recommendations After Tracheostomy During COVID‐19 Pandemic: State of the Art Review

Analysis of endotracheal tube cuff pressure measurements and incidence of ventilator associated pneumonia

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