The prevention of pulmonary aspiration with control of tracheal wall pressure using a silicone cuff

A prospective open randomized controlled study was performed to assess the ability of Euromedical ILM endotracheal tube cuff (silicone cuff) to prevent pulmonary aspiration. The inflation characteristics of this silicone cuff enables the control of tracheal wall pressure. The silicone cuffed tube wa...

Full description

Saved in:
Bibliographic Details
Published in:Anaesthesia and intensive care 2000-12, Vol.28 (6), p.660-665
Main Authors: YOUNG, P. J, BURCHETT, K, HARVEY, I, BLUNT, M. C
Format: Article
Language:English
Subjects:
Aged
Air Pressure
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Emergency and intensive respiratory care
Female
Humans
Inhalation
Intensive care medicine
Intubation, Intratracheal - adverse effects
Intubation, Intratracheal - instrumentation
Male
Medical sciences
Middle Aged
Prospective Studies
Silicones
Trachea - physiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A prospective open randomized controlled study was performed to assess the ability of Euromedical ILM endotracheal tube cuff (silicone cuff) to prevent pulmonary aspiration. The inflation characteristics of this silicone cuff enables the control of tracheal wall pressure. The silicone cuffed tube was shortened and an adjustable flange was used to convert it to a cuffed tracheostomy tube. Twelve patients requiring a tracheostomy on a four-bed intensive care unit (ICU) in a district general hospital received either a silicone or a Shiley cuffed tracheostomy tube. Tracheal wall pressures of both cuffs were maintained at 30 cm H2O with a constant pressure inflation device. Blue food dye was instilled once daily into the subglottic space through a fine catheter above the cuff. There were six patients in the Shiley group and six patients in the silicone cuff group. Dye leaked to the trachea in six (100%) of the Shiley group compared with none (0%) of the silicone cuff group (P = 0.001). This study confirms the effectiveness of this silicone cuff at preventing aspiration and the high incidence of leakage with the conventional high-volume low-pressure tracheostomy tube cuff.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x0002800609