Tsaousi Georgia G, Pourzitaki Chryssa, Chlorou Dimitra, Papapostolou Konstantinos, Vasilakos Dimitrios G
J Perianesth Nurs. 2018 Apr;33(2):129-137. doi: 10.1016/j.jopan.2016.09.002. Epub 2017 Mar 16.
To assess the comparable applicability of four methods of endotracheal tube cuff (ETTc) inflation on the basis of optimal level of intracuff pressure and presence of intubation-related complications.
Double-blind, randomized trial.
A total of 139 adult surgical patients scheduled to undergo nitrous oxide-free general anesthesia were assigned into one of four groups according to the method used for ETTc inflation. The cuff pressure and air volume applied in each method, and laryngotracheal complications were recorded.
The highest and lowest ETTc pressure and air volume values were recorded in palpation and minimum leak technique group, respectively. Laryngotracheal complaints were maximized in palpation and minimized in minimal occlusive volume and minimum leak techniques.
The air-return back into the syringe method emerges as an attractive and simple-to-perform alternative regarding effective ETTc sealing and low incidence of intubation-related morbidity when a cuff manometer is not readily available.
ACTRN12615000699561.
基于气管导管套囊内最佳压力水平和插管相关并发症的发生情况，评估四种气管导管套囊（ETTc）充气方法的可比适用性。
双盲随机试验。
总共139例计划接受无笑气全身麻醉的成年外科手术患者，根据ETTc充气方法被分为四组之一。记录每种方法中施加的套囊压力和空气量，以及喉气管并发症。
触诊组记录到最高的ETTc压力和空气量值，最小漏气技术组记录到最低值。喉气管不适在触诊组中最多，在最小闭合气量和最小漏气技术组中最少。
当袖带压力计不易获得时，回抽注射器法作为一种有效进行ETTc密封且插管相关发病率低的有吸引力且易于操作的替代方法出现。
ACTRN12615000699561。
