Changes in endotracheal tube intracuff pressure and air leak pressure over time in anesthetized Beagle dogs
To evaluate endotracheal tube intracuff pressure (Pcuff) changes over time and the effect of these changes on air leak pressure (Pleak). Prospective experimental study. A group of nine healthy adult Beagle dogs. In part I, in vitro measurements of Pcuff were recorded for 1 hour in eight endotracheal...
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Veröffentlicht in: | Veterinary anaesthesia and analgesia 2018-11, Vol.45 (6), p.737-744 |
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creator | Shin, Chi Won Son, Won-gyun Jang, Min Kim, Hyunseok Han, Hyungjoo Cha, Jeesoo Lee, Inhyung |
description | To evaluate endotracheal tube intracuff pressure (Pcuff) changes over time and the effect of these changes on air leak pressure (Pleak).
Prospective experimental study.
A group of nine healthy adult Beagle dogs.
In part I, in vitro measurements of Pcuff were recorded for 1 hour in eight endotracheal tubes subjected to four treatments: room temperature without lubricant (RT0L), room temperature with lubricant (RTWL), body temperature without lubricant (BT0L), and body temperature with lubricant (BTWL). In part II, nine dogs were endotracheally intubated and Pleak was evaluated at Pcuff of 25 mmHg. Subsequently, Pcuff was reset to 25 mmHg (baseline) and Pcuff measurements were recorded every 5 minutes for 1 hour. Subsequently, a second Pleak measurement was recorded at the current Pcuff. The data were analyzed using Wilcoxon signed-rank test, repeated measures anova and Mann–Whitney U test.
In part I, Pcuff differed significantly between the RT0L and RTWL treatments at 5–60 minutes, and between the BT0L and BTWL treatments at 5–35, 55 and 60 minutes (p < 0.05). In part II, compared with baseline pressures, mean Pcuff decreased to |
doi_str_mv | 10.1016/j.vaa.2018.06.005 |
format | Article |
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Prospective experimental study.
A group of nine healthy adult Beagle dogs.
In part I, in vitro measurements of Pcuff were recorded for 1 hour in eight endotracheal tubes subjected to four treatments: room temperature without lubricant (RT0L), room temperature with lubricant (RTWL), body temperature without lubricant (BT0L), and body temperature with lubricant (BTWL). In part II, nine dogs were endotracheally intubated and Pleak was evaluated at Pcuff of 25 mmHg. Subsequently, Pcuff was reset to 25 mmHg (baseline) and Pcuff measurements were recorded every 5 minutes for 1 hour. Subsequently, a second Pleak measurement was recorded at the current Pcuff. The data were analyzed using Wilcoxon signed-rank test, repeated measures anova and Mann–Whitney U test.
In part I, Pcuff differed significantly between the RT0L and RTWL treatments at 5–60 minutes, and between the BT0L and BTWL treatments at 5–35, 55 and 60 minutes (p < 0.05). In part II, compared with baseline pressures, mean Pcuff decreased to <18 mmHg at 10 minutes and significant decreases were recorded at 15–60 minutes (Pcuff range: 10.0 ± 4.9 to 13.4 ± 6.3 mmHg, mean ± standard deviation). Significant differences were observed between the first and second Pleak measurements (p = 0.034). Pleak decreased in six of nine dogs, was not changed in two dogs and increased in one dog.
Significant decreases in Pcuff over time were measured. Pleak may decrease during anesthesia and increase the risk for silent pulmonary aspiration. The results indicate the need for testing Pcuff more than once, especially at 10 minutes after the onset of anesthesia.</description><identifier>ISSN: 1467-2987</identifier><identifier>EISSN: 1467-2995</identifier><identifier>DOI: 10.1016/j.vaa.2018.06.005</identifier><identifier>PMID: 30193900</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>air leak pressure ; Anesthesia, Endotracheal - adverse effects ; Anesthesia, Endotracheal - methods ; Anesthesia, Endotracheal - veterinary ; Animals ; dog ; Dogs - surgery ; endotracheal tube ; intracuff pressure ; Intubation, Intratracheal - adverse effects ; Intubation, Intratracheal - instrumentation ; Intubation, Intratracheal - veterinary ; Male ; Pressure ; Prospective Studies ; time ; Time Factors</subject><ispartof>Veterinary anaesthesia and analgesia, 2018-11, Vol.45 (6), p.737-744</ispartof><rights>2018 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia</rights><rights>Copyright © 2018 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-6b6de5da6209a16fa8b2e4a976353e79dd329b95e60c435ce12537f8c601bcfb3</citedby><cites>FETCH-LOGICAL-c353t-6b6de5da6209a16fa8b2e4a976353e79dd329b95e60c435ce12537f8c601bcfb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30193900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shin, Chi Won</creatorcontrib><creatorcontrib>Son, Won-gyun</creatorcontrib><creatorcontrib>Jang, Min</creatorcontrib><creatorcontrib>Kim, Hyunseok</creatorcontrib><creatorcontrib>Han, Hyungjoo</creatorcontrib><creatorcontrib>Cha, Jeesoo</creatorcontrib><creatorcontrib>Lee, Inhyung</creatorcontrib><title>Changes in endotracheal tube intracuff pressure and air leak pressure over time in anesthetized Beagle dogs</title><title>Veterinary anaesthesia and analgesia</title><addtitle>Vet Anaesth Analg</addtitle><description>To evaluate endotracheal tube intracuff pressure (Pcuff) changes over time and the effect of these changes on air leak pressure (Pleak).
Prospective experimental study.
A group of nine healthy adult Beagle dogs.
In part I, in vitro measurements of Pcuff were recorded for 1 hour in eight endotracheal tubes subjected to four treatments: room temperature without lubricant (RT0L), room temperature with lubricant (RTWL), body temperature without lubricant (BT0L), and body temperature with lubricant (BTWL). In part II, nine dogs were endotracheally intubated and Pleak was evaluated at Pcuff of 25 mmHg. Subsequently, Pcuff was reset to 25 mmHg (baseline) and Pcuff measurements were recorded every 5 minutes for 1 hour. Subsequently, a second Pleak measurement was recorded at the current Pcuff. The data were analyzed using Wilcoxon signed-rank test, repeated measures anova and Mann–Whitney U test.
In part I, Pcuff differed significantly between the RT0L and RTWL treatments at 5–60 minutes, and between the BT0L and BTWL treatments at 5–35, 55 and 60 minutes (p < 0.05). In part II, compared with baseline pressures, mean Pcuff decreased to <18 mmHg at 10 minutes and significant decreases were recorded at 15–60 minutes (Pcuff range: 10.0 ± 4.9 to 13.4 ± 6.3 mmHg, mean ± standard deviation). Significant differences were observed between the first and second Pleak measurements (p = 0.034). Pleak decreased in six of nine dogs, was not changed in two dogs and increased in one dog.
Significant decreases in Pcuff over time were measured. Pleak may decrease during anesthesia and increase the risk for silent pulmonary aspiration. The results indicate the need for testing Pcuff more than once, especially at 10 minutes after the onset of anesthesia.</description><subject>air leak pressure</subject><subject>Anesthesia, Endotracheal - adverse effects</subject><subject>Anesthesia, Endotracheal - methods</subject><subject>Anesthesia, Endotracheal - veterinary</subject><subject>Animals</subject><subject>dog</subject><subject>Dogs - surgery</subject><subject>endotracheal tube</subject><subject>intracuff pressure</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Intubation, Intratracheal - veterinary</subject><subject>Male</subject><subject>Pressure</subject><subject>Prospective Studies</subject><subject>time</subject><subject>Time Factors</subject><issn>1467-2987</issn><issn>1467-2995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0E4lH4ADbISzYNY7txarGCipdUiQ2sLceetG7TpNhJJfh6XLXAjpXHM_dezRxCLhlkDJi8WWQbYzIObJyBzADyA3LKRrIYcqXyw996XJyQsxgXAKxQORyTEwFMCQVwSpaTuWlmGKlvKDau7YKxczQ17foSU3P776uKrgPG2AekpnHU-EBrNMu_brvBQDu_2lqSBGM3x85_oaP3aGY1UtfO4jk5qkwd8WL_Dsj748Pb5Hk4fX16mdxNh1bkohvKUjrMnZEclGGyMuOS48ioQqYxFso5wVWpcpRgRyK3yHguimpsJbDSVqUYkOtd7jq0H33aRa98tFjXabG2j5oneFwWnIskZTupDW2MASu9Dn5lwqdmoLeM9UInxnrLWIPUiXHyXO3j-3KF7tfxAzUJbncCTEduPAYdrcfGovMBbadd6_-J_wbR4I2t</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Shin, Chi Won</creator><creator>Son, Won-gyun</creator><creator>Jang, Min</creator><creator>Kim, Hyunseok</creator><creator>Han, Hyungjoo</creator><creator>Cha, Jeesoo</creator><creator>Lee, Inhyung</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201811</creationdate><title>Changes in endotracheal tube intracuff pressure and air leak pressure over time in anesthetized Beagle dogs</title><author>Shin, Chi Won ; Son, Won-gyun ; Jang, Min ; Kim, Hyunseok ; Han, Hyungjoo ; Cha, Jeesoo ; Lee, Inhyung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-6b6de5da6209a16fa8b2e4a976353e79dd329b95e60c435ce12537f8c601bcfb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>air leak pressure</topic><topic>Anesthesia, Endotracheal - adverse effects</topic><topic>Anesthesia, Endotracheal - methods</topic><topic>Anesthesia, Endotracheal - veterinary</topic><topic>Animals</topic><topic>dog</topic><topic>Dogs - surgery</topic><topic>endotracheal tube</topic><topic>intracuff pressure</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Intubation, Intratracheal - veterinary</topic><topic>Male</topic><topic>Pressure</topic><topic>Prospective Studies</topic><topic>time</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shin, Chi Won</creatorcontrib><creatorcontrib>Son, Won-gyun</creatorcontrib><creatorcontrib>Jang, Min</creatorcontrib><creatorcontrib>Kim, Hyunseok</creatorcontrib><creatorcontrib>Han, Hyungjoo</creatorcontrib><creatorcontrib>Cha, Jeesoo</creatorcontrib><creatorcontrib>Lee, Inhyung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary anaesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shin, Chi Won</au><au>Son, Won-gyun</au><au>Jang, Min</au><au>Kim, Hyunseok</au><au>Han, Hyungjoo</au><au>Cha, Jeesoo</au><au>Lee, Inhyung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in endotracheal tube intracuff pressure and air leak pressure over time in anesthetized Beagle dogs</atitle><jtitle>Veterinary anaesthesia and analgesia</jtitle><addtitle>Vet Anaesth Analg</addtitle><date>2018-11</date><risdate>2018</risdate><volume>45</volume><issue>6</issue><spage>737</spage><epage>744</epage><pages>737-744</pages><issn>1467-2987</issn><eissn>1467-2995</eissn><abstract>To evaluate endotracheal tube intracuff pressure (Pcuff) changes over time and the effect of these changes on air leak pressure (Pleak).
Prospective experimental study.
A group of nine healthy adult Beagle dogs.
In part I, in vitro measurements of Pcuff were recorded for 1 hour in eight endotracheal tubes subjected to four treatments: room temperature without lubricant (RT0L), room temperature with lubricant (RTWL), body temperature without lubricant (BT0L), and body temperature with lubricant (BTWL). In part II, nine dogs were endotracheally intubated and Pleak was evaluated at Pcuff of 25 mmHg. Subsequently, Pcuff was reset to 25 mmHg (baseline) and Pcuff measurements were recorded every 5 minutes for 1 hour. Subsequently, a second Pleak measurement was recorded at the current Pcuff. The data were analyzed using Wilcoxon signed-rank test, repeated measures anova and Mann–Whitney U test.
In part I, Pcuff differed significantly between the RT0L and RTWL treatments at 5–60 minutes, and between the BT0L and BTWL treatments at 5–35, 55 and 60 minutes (p < 0.05). In part II, compared with baseline pressures, mean Pcuff decreased to <18 mmHg at 10 minutes and significant decreases were recorded at 15–60 minutes (Pcuff range: 10.0 ± 4.9 to 13.4 ± 6.3 mmHg, mean ± standard deviation). Significant differences were observed between the first and second Pleak measurements (p = 0.034). Pleak decreased in six of nine dogs, was not changed in two dogs and increased in one dog.
Significant decreases in Pcuff over time were measured. Pleak may decrease during anesthesia and increase the risk for silent pulmonary aspiration. The results indicate the need for testing Pcuff more than once, especially at 10 minutes after the onset of anesthesia.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>30193900</pmid><doi>10.1016/j.vaa.2018.06.005</doi><tpages>8</tpages></addata></record> |
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subjects | air leak pressure Anesthesia, Endotracheal - adverse effects Anesthesia, Endotracheal - methods Anesthesia, Endotracheal - veterinary Animals dog Dogs - surgery endotracheal tube intracuff pressure Intubation, Intratracheal - adverse effects Intubation, Intratracheal - instrumentation Intubation, Intratracheal - veterinary Male Pressure Prospective Studies time Time Factors |
title | Changes in endotracheal tube intracuff pressure and air leak pressure over time in anesthetized Beagle dogs |
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