2014, Number 2
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Rev Mex Anest 2014; 37 (2)
Evaluating the accuracy of subjective tracheal insufflation balloon techniques
Félix-Ruiz R, López-Urbina DM, Carrillo-Torres O
Language: Spanish
References: 14
Page: 71-76
PDF size: 240.51 Kb.
ABSTRACT
Introduction: Endotracheal intubation is a necessary method to protect the airway, however, it may be associated with complications such as micro pulmonary aspirations, hemorrhage, necrosis, ulceration, tracheal stenosis, tracheoesophageal fistula and loss of ciliary mucosa. It is important to know the variations in pressure of the balloon inflated with endotracheal subjective techniques since, in most cases unknown pressure being produced on the tracheal mucosa.
Methods: An observational, cross-sectional, descriptive which included 49 patients who required endotracheal intubation for general anesthesia procedures. The subjective technique endotracheal balloon insufflation technique is divided into minimum leakage or acupressure. Measuring the balloon pressure reached is performed with a manometer.
Results: The final N was 47 patients in whom endotracheal balloon was blown through subjective techniques: 32% were within appropriate pressures and 68 % were observed outside, of the norm.
Conclusions: Subjective techniques are unreliable for assessing endotracheal balloon pressure, becoming evident the need for a pressure gauge to maintain endotracheal balloon pressures within the recommended ranges.
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