| Автор | Faris, C |
| Автор | Koury, E |
| Автор | Philpott, J |
| Автор | Sharma, S |
| Автор | Tolley, N |
| Автор | Narula, A |
| Дата выпуска | 2007 |
| dc.description | Two methods can be used to assess the intra-cuff pressure of tracheostomy tubes: digital palpation of the pilot balloon and use of a hand-held manometer. We conducted a telephone survey to determine the prevalence of both methods in intensive care units within 21 teaching hospitals across the United Kingdom. Forty-two per cent of the intensive care units surveyed used a protocol for monitoring cuff pressure with a manometer.A study to compare these two methods, using the manometer as the reference standard, was then carried out. The cuff pressure was correctly estimated in pre-inflated tracheostomy tubes, in a tracheal model, by 61 per cent of a cross-section of intensive care unit and otolaryngology staff.Using pilot balloon palpation is inaccurate and leaves a significant proportion of patients at risk of tracheal injury. We advocate the wider availability of hand-held pressure manometers in intensive care units and the institution of protocols for monitoring cuff pressure for any patient with a tracheostomy tube with an inflated cuff in situ.C Faris and E Koury are the joint lead authors. |
| Издатель | Cambridge University Press |
| Тема | Tracheostomy |
| Тема | Trachea |
| Тема | Pathologic Constriction |
| Тема | Intensive Care |
| Название | Estimation of tracheostomy tube cuff pressure by pilot balloon palpationPresented at the Intensive Care Society, Annual Spring Meeting, 5–6th May 2005, Glasgow, Scotland, UK. |
| DOI | 10.1017/S0022215107005324 |
| Electronic ISSN | 1748-5460 |
| Print ISSN | 0022-2151 |
| Журнал | The Journal of Laryngology & Otology |
| Том | 121 |
| Первая страница | 869 |
| Последняя страница | 871 |
| Аффилиация | Faris C; St Maryʼs Hospital |
| Аффилиация | Koury E; St Maryʼs Hospital; |
| Аффилиация | Philpott J; Royal Marsden Hospital |
| Аффилиация | Sharma S; Poole General Hospital |
| Аффилиация | Tolley N; St Maryʼs Hospital |
| Аффилиация | Narula A; St Maryʼs Hospital |
| Выпуск | 9 |
