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
Hauptverfasser: Shin, Chi Won, Son, Won-gyun, Jang, Min, Kim, Hyunseok, Han, Hyungjoo, Cha, Jeesoo, Lee, Inhyung
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container_end_page 744
container_issue 6
container_start_page 737
container_title Veterinary anaesthesia and analgesia
container_volume 45
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
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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 &lt; 0.05). In part II, compared with baseline pressures, mean Pcuff decreased to &lt;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. 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In part II, compared with baseline pressures, mean Pcuff decreased to &lt;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. 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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 &lt; 0.05). In part II, compared with baseline pressures, mean Pcuff decreased to &lt;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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