Endotracheal tube cuff pressure during aeromedical transport

<p dir="ltr">The use of helicopters and planes for transporting sick or injured patients to tertiary care centers is common practice. Aviation medicine requires a different perspective regarding patient care. One must consider the effects of higher altitudes on patients when utilizin...

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Main Author: Sean Graham (117266) (author)
Published: 2015
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author Sean Graham (117266)
author_facet Sean Graham (117266)
author_role author
dc.creator.none.fl_str_mv Sean Graham (117266)
dc.date.none.fl_str_mv 2015-11-12T09:00:00Z
dc.identifier.none.fl_str_mv 10.5339/jlghs.2015.itma.11
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Endotracheal_tube_cuff_pressure_during_aeromedical_transport/27143445
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Aeromedical transportation
Patient care
Endotracheal tube (ETT)
Cuff pressure
Airway management
dc.title.none.fl_str_mv Endotracheal tube cuff pressure during aeromedical transport
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">The use of helicopters and planes for transporting sick or injured patients to tertiary care centers is common practice. Aviation medicine requires a different perspective regarding patient care. One must consider the effects of higher altitudes on patients when utilizing aeromedical transportation. An endotracheal tube (ETT) utilizes air to inflate a balloon (“cuff”); the cuff invasively secures the ETT and the pressure must be measured and monitored. The amount of air placed in an ETT cuff to ensure a proper seal on an intubated patient varies among practitioners; without using a measuring device (manometer), ETT cuff pressures are unknown. In a critically ill patient, blood supply to the tracheal mucosa can become compromised, when ETT cuff pressures are sustained above 30 mm Hg for greater than 15-30 minutes potentially resulting in unnecessary airway trauma. Boyle-Mariotte’s Gas Law is used to measure ETT cuff pressures: Pcuff2=Pcuff1 + Patm1 – Patm2. Pcuff2 represents the final numerical value of the ETT cuff pressure.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Local and Global Health Science, title discontinued as of (2017)<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.5339/jlghs.2015.itma.11" target="_blank">https://dx.doi.org/10.5339/jlghs.2015.itma.11</a></p>
eu_rights_str_mv openAccess
id Manara2_f2fd575745c6028f3a6ef0a889096bed
identifier_str_mv 10.5339/jlghs.2015.itma.11
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/27143445
publishDate 2015
repository.mail.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Endotracheal tube cuff pressure during aeromedical transportSean Graham (117266)Biomedical and clinical sciencesClinical sciencesAeromedical transportationPatient careEndotracheal tube (ETT)Cuff pressureAirway management<p dir="ltr">The use of helicopters and planes for transporting sick or injured patients to tertiary care centers is common practice. Aviation medicine requires a different perspective regarding patient care. One must consider the effects of higher altitudes on patients when utilizing aeromedical transportation. An endotracheal tube (ETT) utilizes air to inflate a balloon (“cuff”); the cuff invasively secures the ETT and the pressure must be measured and monitored. The amount of air placed in an ETT cuff to ensure a proper seal on an intubated patient varies among practitioners; without using a measuring device (manometer), ETT cuff pressures are unknown. In a critically ill patient, blood supply to the tracheal mucosa can become compromised, when ETT cuff pressures are sustained above 30 mm Hg for greater than 15-30 minutes potentially resulting in unnecessary airway trauma. Boyle-Mariotte’s Gas Law is used to measure ETT cuff pressures: Pcuff2=Pcuff1 + Patm1 – Patm2. Pcuff2 represents the final numerical value of the ETT cuff pressure.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Local and Global Health Science, title discontinued as of (2017)<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.5339/jlghs.2015.itma.11" target="_blank">https://dx.doi.org/10.5339/jlghs.2015.itma.11</a></p>2015-11-12T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.5339/jlghs.2015.itma.11https://figshare.com/articles/journal_contribution/Endotracheal_tube_cuff_pressure_during_aeromedical_transport/27143445CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/271434452015-11-12T09:00:00Z
spellingShingle Endotracheal tube cuff pressure during aeromedical transport
Sean Graham (117266)
Biomedical and clinical sciences
Clinical sciences
Aeromedical transportation
Patient care
Endotracheal tube (ETT)
Cuff pressure
Airway management
status_str publishedVersion
title Endotracheal tube cuff pressure during aeromedical transport
title_full Endotracheal tube cuff pressure during aeromedical transport
title_fullStr Endotracheal tube cuff pressure during aeromedical transport
title_full_unstemmed Endotracheal tube cuff pressure during aeromedical transport
title_short Endotracheal tube cuff pressure during aeromedical transport
title_sort Endotracheal tube cuff pressure during aeromedical transport
topic Biomedical and clinical sciences
Clinical sciences
Aeromedical transportation
Patient care
Endotracheal tube (ETT)
Cuff pressure
Airway management