Detrimental Effect of Filling Airways to Excessive Pressure: A quality improvement initiative
Ashley V. Fritz*, Gregory J. Mickus, Michael A. Vega, J. Ross Renew and Sorin J. Brull
"Caring for patients in the perioperative setting frequently entails placement of an airway device. This procedure is associated with several potential complications, including sore throat, coughing, and vocal cord damage. Our quality improvement initiative has shown that intraoperative management of intra-cuff pressure based on manometry is feasible to implement in clinical practice and can reduce postoperative airway complications."
An in vitro and in vivo validation of a novel monitor for intracuff pressure in cuffed ET tubes
Archana S. Ramesh , Senthil G. Krishna, William T. Denman & Joseph D. Tobias
"The study has demonstrated clinically acceptable correlation between the CPs obtained from the standard manometer and the AG Cuffill syringe device both in vitro and in vivo. The AG Cuffill devcie is a simple, reliable, portable, and affordable method to monitor CP."
ET Tube Cuff Pressures: Avoiding the Avoidable Airway Disaster
By: Eric Steffel, NRP, BSEMSA. Clinical Educator, Northwest Community Health, Inc.
"You are on scene with your partner performing an intubation. Your partner announces that he sees the tube pass through the cords and almost seamlessly you inflate the cuff with 10 mL of air while he pulls the laryngoscope blade and attaches the bag valve mask (BVM) with end-tidal CO2 (ETCO2 ). Up to this point it seems like everything has been performed exceptionally; however... Have you ever considered the pressure that should go into the endotracheal tube (ET) cuff?"