Determinants of Tracheal Injury by Cuffed Tracheostomy Tubes
Tracheal injury continues to be a major complication of the use of cuffed endotracheal/tracheostomy tubes. To assess the determinants of such injury, 22 dogs were studied. It was found that the degree of tracheal injury induced by high compliance-low pressure tracheal cuffs was substantially less th...
Gespeichert in:
| Veröffentlicht in: | Chest 1974-02, Vol.65 (2), p.128-135 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 135 |
|---|---|
| container_issue | 2 |
| container_start_page | 128 |
| container_title | Chest |
| container_volume | 65 |
| creator | Dunn, C. Richard Dunn, Deon L. Moser, Kenneth M. Moser |
| description | Tracheal injury continues to be a major complication of the use of cuffed endotracheal/tracheostomy tubes. To assess the determinants of such injury, 22 dogs were studied. It was found that the degree of tracheal injury induced by high compliance-low pressure tracheal cuffs was substantially less than that provoked by low compliance-high pressure cuffs. Marked compromise of tracheal arterial circulation by the high pressure cuffs was demonstrated by vascular injection studies. Tantalum tracheography was useful in assessing the presence of cuff-induced mucosal injury and in delineating tracheal distortion induced by the cuffs. Comparing the cuff compliance (pressure-volume) curve obtained outside the trachea with that obtained inside the trachea can provide a reasonable guide to cuff suitability in terms of the pressure it will apply to the trachea waff. Intercurrent hypotension or the use of positive-pressure ventilation had no discernible influence on extent of tracheal injury. It is cmicluded that high compliance-low pressure cuffs should be used exclusively in clinical practice. |
| doi_str_mv | 10.1378/chest.65.2.128 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_82253388</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0012369215335236</els_id><sourcerecordid>82253388</sourcerecordid><originalsourceid>FETCH-LOGICAL-c378t-54e7c107203aa3a2aa2725d08df171eef448eb87cbf761656b3e833e9a214f2e3</originalsourceid><addsrcrecordid>eNp1kD1PwzAURS0EKqWwsiFlYkuI7Th2JBZUPqVKLGW2HOeZpkriYieg_HsMjYCF6cl69x49H4TOcZpgysWV3oDvk5wlJMFEHKA5LiiOKcvoIZqnKSYxzQtyjE6836bhjYt8hmYZE4XAfI6ub6EH19ad6nofWROtnQpI1URP3XZwY1SO0XIwBqppY31v2zFaDyX4U3RkVOPhbJoL9HJ_t14-xqvnh6flzSrW4cI-ZhlwjVNOUqoUVUQpwgmrUlEZzDGAyTIBpeC6NDzHOctLCoJSKBTBmSFAF-hyz905-zaE_8q29hqaRnVgBy8FIYxSIUIw2Qe1s947MHLn6la5UeJUfumS37pkziSRQVcoXEzkoWyh-olPfn6Bm_p181E7kL5VTRPSdI_a2sF1qvkDFPsCBB_vNTjpdQ2dhiqUdS8rW_93yycBV4qN</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>82253388</pqid></control><display><type>article</type><title>Determinants of Tracheal Injury by Cuffed Tracheostomy Tubes</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Dunn, C. Richard ; Dunn, Deon L. ; Moser, Kenneth M. ; Moser</creator><creatorcontrib>Dunn, C. Richard ; Dunn, Deon L. ; Moser, Kenneth M. ; Moser</creatorcontrib><description>Tracheal injury continues to be a major complication of the use of cuffed endotracheal/tracheostomy tubes. To assess the determinants of such injury, 22 dogs were studied. It was found that the degree of tracheal injury induced by high compliance-low pressure tracheal cuffs was substantially less than that provoked by low compliance-high pressure cuffs. Marked compromise of tracheal arterial circulation by the high pressure cuffs was demonstrated by vascular injection studies. Tantalum tracheography was useful in assessing the presence of cuff-induced mucosal injury and in delineating tracheal distortion induced by the cuffs. Comparing the cuff compliance (pressure-volume) curve obtained outside the trachea with that obtained inside the trachea can provide a reasonable guide to cuff suitability in terms of the pressure it will apply to the trachea waff. Intercurrent hypotension or the use of positive-pressure ventilation had no discernible influence on extent of tracheal injury. It is cmicluded that high compliance-low pressure cuffs should be used exclusively in clinical practice.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.65.2.128</identifier><identifier>PMID: 4589817</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animals ; Dogs ; Hypotension - complications ; Intubation, Intratracheal - adverse effects ; Intubation, Intratracheal - instrumentation ; Mucous Membrane - injuries ; Positive-Pressure Respiration ; Pressure ; Radiography ; Rubber ; Silicones ; Tantalum ; Trachea - blood supply ; Trachea - diagnostic imaging ; Trachea - injuries ; Tracheotomy - instrumentation ; Ventilators, Mechanical</subject><ispartof>Chest, 1974-02, Vol.65 (2), p.128-135</ispartof><rights>1974 The American College of Chest Physicians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378t-54e7c107203aa3a2aa2725d08df171eef448eb87cbf761656b3e833e9a214f2e3</citedby><cites>FETCH-LOGICAL-c378t-54e7c107203aa3a2aa2725d08df171eef448eb87cbf761656b3e833e9a214f2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4589817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dunn, C. Richard</creatorcontrib><creatorcontrib>Dunn, Deon L.</creatorcontrib><creatorcontrib>Moser, Kenneth M.</creatorcontrib><creatorcontrib>Moser</creatorcontrib><title>Determinants of Tracheal Injury by Cuffed Tracheostomy Tubes</title><title>Chest</title><addtitle>Chest</addtitle><description>Tracheal injury continues to be a major complication of the use of cuffed endotracheal/tracheostomy tubes. To assess the determinants of such injury, 22 dogs were studied. It was found that the degree of tracheal injury induced by high compliance-low pressure tracheal cuffs was substantially less than that provoked by low compliance-high pressure cuffs. Marked compromise of tracheal arterial circulation by the high pressure cuffs was demonstrated by vascular injection studies. Tantalum tracheography was useful in assessing the presence of cuff-induced mucosal injury and in delineating tracheal distortion induced by the cuffs. Comparing the cuff compliance (pressure-volume) curve obtained outside the trachea with that obtained inside the trachea can provide a reasonable guide to cuff suitability in terms of the pressure it will apply to the trachea waff. Intercurrent hypotension or the use of positive-pressure ventilation had no discernible influence on extent of tracheal injury. It is cmicluded that high compliance-low pressure cuffs should be used exclusively in clinical practice.</description><subject>Animals</subject><subject>Dogs</subject><subject>Hypotension - complications</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Mucous Membrane - injuries</subject><subject>Positive-Pressure Respiration</subject><subject>Pressure</subject><subject>Radiography</subject><subject>Rubber</subject><subject>Silicones</subject><subject>Tantalum</subject><subject>Trachea - blood supply</subject><subject>Trachea - diagnostic imaging</subject><subject>Trachea - injuries</subject><subject>Tracheotomy - instrumentation</subject><subject>Ventilators, Mechanical</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1974</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAURS0EKqWwsiFlYkuI7Th2JBZUPqVKLGW2HOeZpkriYieg_HsMjYCF6cl69x49H4TOcZpgysWV3oDvk5wlJMFEHKA5LiiOKcvoIZqnKSYxzQtyjE6836bhjYt8hmYZE4XAfI6ub6EH19ad6nofWROtnQpI1URP3XZwY1SO0XIwBqppY31v2zFaDyX4U3RkVOPhbJoL9HJ_t14-xqvnh6flzSrW4cI-ZhlwjVNOUqoUVUQpwgmrUlEZzDGAyTIBpeC6NDzHOctLCoJSKBTBmSFAF-hyz905-zaE_8q29hqaRnVgBy8FIYxSIUIw2Qe1s947MHLn6la5UeJUfumS37pkziSRQVcoXEzkoWyh-olPfn6Bm_p181E7kL5VTRPSdI_a2sF1qvkDFPsCBB_vNTjpdQ2dhiqUdS8rW_93yycBV4qN</recordid><startdate>197402</startdate><enddate>197402</enddate><creator>Dunn, C. Richard</creator><creator>Dunn, Deon L.</creator><creator>Moser, Kenneth M.</creator><creator>Moser</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</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>197402</creationdate><title>Determinants of Tracheal Injury by Cuffed Tracheostomy Tubes</title><author>Dunn, C. Richard ; Dunn, Deon L. ; Moser, Kenneth M. ; Moser</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-54e7c107203aa3a2aa2725d08df171eef448eb87cbf761656b3e833e9a214f2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1974</creationdate><topic>Animals</topic><topic>Dogs</topic><topic>Hypotension - complications</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Mucous Membrane - injuries</topic><topic>Positive-Pressure Respiration</topic><topic>Pressure</topic><topic>Radiography</topic><topic>Rubber</topic><topic>Silicones</topic><topic>Tantalum</topic><topic>Trachea - blood supply</topic><topic>Trachea - diagnostic imaging</topic><topic>Trachea - injuries</topic><topic>Tracheotomy - instrumentation</topic><topic>Ventilators, Mechanical</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dunn, C. Richard</creatorcontrib><creatorcontrib>Dunn, Deon L.</creatorcontrib><creatorcontrib>Moser, Kenneth M.</creatorcontrib><creatorcontrib>Moser</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>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dunn, C. Richard</au><au>Dunn, Deon L.</au><au>Moser, Kenneth M.</au><au>Moser</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of Tracheal Injury by Cuffed Tracheostomy Tubes</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1974-02</date><risdate>1974</risdate><volume>65</volume><issue>2</issue><spage>128</spage><epage>135</epage><pages>128-135</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><abstract>Tracheal injury continues to be a major complication of the use of cuffed endotracheal/tracheostomy tubes. To assess the determinants of such injury, 22 dogs were studied. It was found that the degree of tracheal injury induced by high compliance-low pressure tracheal cuffs was substantially less than that provoked by low compliance-high pressure cuffs. Marked compromise of tracheal arterial circulation by the high pressure cuffs was demonstrated by vascular injection studies. Tantalum tracheography was useful in assessing the presence of cuff-induced mucosal injury and in delineating tracheal distortion induced by the cuffs. Comparing the cuff compliance (pressure-volume) curve obtained outside the trachea with that obtained inside the trachea can provide a reasonable guide to cuff suitability in terms of the pressure it will apply to the trachea waff. Intercurrent hypotension or the use of positive-pressure ventilation had no discernible influence on extent of tracheal injury. It is cmicluded that high compliance-low pressure cuffs should be used exclusively in clinical practice.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>4589817</pmid><doi>10.1378/chest.65.2.128</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-3692 |
| ispartof | Chest, 1974-02, Vol.65 (2), p.128-135 |
| issn | 0012-3692 1931-3543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_82253388 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Animals Dogs Hypotension - complications Intubation, Intratracheal - adverse effects Intubation, Intratracheal - instrumentation Mucous Membrane - injuries Positive-Pressure Respiration Pressure Radiography Rubber Silicones Tantalum Trachea - blood supply Trachea - diagnostic imaging Trachea - injuries Tracheotomy - instrumentation Ventilators, Mechanical |
| title | Determinants of Tracheal Injury by Cuffed Tracheostomy Tubes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T05%3A44%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Determinants%20of%20Tracheal%20Injury%20by%20Cuffed%20Tracheostomy%20Tubes&rft.jtitle=Chest&rft.au=Dunn,%20C.%20Richard&rft.date=1974-02&rft.volume=65&rft.issue=2&rft.spage=128&rft.epage=135&rft.pages=128-135&rft.issn=0012-3692&rft.eissn=1931-3543&rft_id=info:doi/10.1378/chest.65.2.128&rft_dat=%3Cproquest_cross%3E82253388%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=82253388&rft_id=info:pmid/4589817&rft_els_id=S0012369215335236&rfr_iscdi=true |