medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2017, Number 1

<< Back Next >>

Acta Med 2017; 15 (1)

Evaluation of the pressure of the tracheal balloon inflated by minimal leak technique at Hospital Angeles Mocel

Delgado GFM, Athié GJM, Díaz CCY

Language: Spanish
References: 14
Page: 8-12
PDF size: 157.65 Kb.


ABSTRACT

Endotracheal intubation is a procedure that consists in the placement of a tube into the trachea to establish and maintain an airway to provide adequate oxygenation, ventilate with positive pressure, or administer anesthetic gas in patients undergoing a surgical operation. It is an interface between the anesthesia machine and the patient. The aim of this study was to determine the insufflation pressure of the cuff in the endotracheal tube with the minimal leak technique. The results showed that, of a total of 339 subjects, 60 (17.7%) had pressures between 20 and 30 cm of H2O while 279 (82.3%) showed pressures of less than 20 or over 30 cm of H2O. We concluded that the minimal leak technique is a subjective one that has a high grade of inaccuracy, with a tendency to overinflate, which can lead to ischemia of the mucosa, with a consequential stenosis.


REFERENCES

  1. Barash PG. Clinical anesthesia. 7.a edición. Estados Unidos: Lippincott Williams & Wilkins; 2013.

  2. Sengupta P, Sessler DI, Maglinger P, Wells S, Vogt A, Durrani J et al. Endotracheal tube cuff pressure in three hospitals, and the volume required to produce an appropriate cuff pressure. BMC Anesthesiology. 2004; 4 (1): 8.

  3. Ramos GL. Fundamentos de la ventilación mecánica. Benito Vales Salvador. Capítulo 8. Tratamiento del paciente ventilado mecánicamente. 3.1.2. Modificación de la presión media de la vía aérea. 2012.

  4. López-Herranz GP. Intubación endotraqueal: importancia de la presión del manguito sobre el epitelio traqueal. Rev Med Hosp Gen Mex. 2013; 76 (3): 153-161.

  5. Félix-Ruiz R, López-Urbina DM, Carrillo-Torres O. Evaluar la precisión de las técnicas subjetivas de insuflación del globo endotraqueal. Rev Mex Anestesiol. 2014; 37 (2): 71-76.

  6. Jordan P, Van Rooyen D, Venter D. Endotracheal tube cuff pressure management in adult critical care units. Afr J Crit Care. 2012; 28 (1): 1316. doi: 10.7196/SAJCC.

  7. Cristacho W. Fundamentos de fisioterapia respiratoria y ventilación mecánica. México: Ed. Manual Moderno; 2003.

  8. Victoria-Alonso V, Guzmán SJ, Déctor JT. Variación en la presión de inflado del manguito del tubo endotraqueal durante la anestesia general. Rev Mex Anestesiol. 1998; 21 (2): 87-91.

  9. Stewart SL, Secrest JA, Norwood BR, Zachary R. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA J. 2003; 71: 443-447.

  10. Loeser EA, Hodges M, Gliedman J, Stanley TH, Johansen RK, Yonetani D. Tracheal pathology following short-term intubation with low-and high-pressure endotracheal tube cuffs. Anesth Analg. 1978; 57 (5): 577-579.

  11. Ovilla PC. Estudio observacional para determinar la presión del manguito neumotaponador en pacientes adultos sometidos a anestesia general e intubación endotraqueal en las diferentes unidades quirúrgicas del Hospital General de México. [Tesis de postgrado en Anestesiología]. México (DF): UNAM; 2009. pp. 1-25. www.bc.unam.mx/colecciones/tesis No 001-11202-01-2009.

  12. Merchant R, Chartrand D, Dain S, Dobson G, Kurrek MM, Lagacé A et al. Guidelines to the practice of anesthesia. Can J Anesth 2015; 62 (1): 54-67. doi: 10.1007/s12630-014-0232-8.

  13. ASA Standards for basic anesthetic monitoring. Standards and practice parameters (approved by the ASA House of Delegates on October 21, 1986, last amended on October 20, 2010, and last affirmed on October 28, 2015).

  14. Norma Oficial Mexicana NOM-006-SSA3-2011, para la práctica de la anestesiología.




2020     |     www.medigraphic.com