| Home | E-Submission | Sitemap | Contact Us |  
top_img
J Korean Soc Emerg Med > Volume 15(1); 2004 > Article
Journal of The Korean Society of Emergency Medicine 2004;15(1): 19-23.
Investigations of the Amount of Air and the Pressure for a Tracheal Tube Cuff
Sam Woo Lee, Ki Cheol You, Suk Hyun Park, Min Soo Kang, Seung Hun O, Moo Eob Ahn, Hee Cheol Ahn, Koang Min Kim
1Department of Emergency Medicine, School of Medicine, Hallym University, Seoul, Korea. emykc@hanmail.net
2Department of Anesthesia, School of Medicine, Hallym University, Seoul, Korea.
ABSTRACT
PURPOSE:
After intubation, it is recommended that, to sustain airway patency, about 10ml of air be infused to seal the airway and to prevent complications. At this step, sustaining a proper pressure level (18~24 mmHg) is most important because excessive pressure can cause diverse complications. We carried out a series of investigations to find a way to sustain a constant pressure level.
METHODS:
We gathered the cases of intubated patients for 6 randomly selected days during 2003 at HanGang Sacred Heart Hospital. Included were cases from emergency room, the intensive care unit, and the operating rooms; 30 cases were enrolled for this investigation. We used a cuff pressure control REF 701 (Tracoe(r), Mainz, Germany) to trace the cuff pressure. First, we measured the amount of air that was infused into the cuff and the cuff pressure. Then, we measured the amount of air after a proper level of cuff pressure had been achieved.
RESULTS:
We have found that out of the 30 cases investigated the recommended pressure level was maintained in 4 cases. The average cuff pressure was 40.9 mmHg with 10.2 cc of air and 69.0 mmHg, the largest value, was reported in one case. However, when recommended pressure level was maintained (18 mmHg), the average amount of air was reduced to 7.9 cc.
CONCLUSION:
The results reveal that it may not be possible to sustain the recommended pressure level by "infusing about 10 ml of air,"and that may cause complications.
Key words: Intubation, Intratracheal
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
1,436
View
7
Download
Related articles
Estimate the Cuff Inflation Volume to Maintain Safe Intracuff Pressure of an Endotracheal Tube  2004 October;15(5)
Investigations of the Air Volume for a Tracheal Tube Cuff in a Tracheal Models  2006 February;17(1)
Editorial Office
The Korean Society of Emergency Medicine
TEL: +82-62-226-1780   FAX: +82-62-224-3501   E-mail: 0012194@csuh.co.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Emergency Medicine.                 Developed in M2PI