Salazar EDC, Canul ASR

Language: Spanish
References: 5
Page: 50-53
PDF size: 52.36 Kb.

ABSTRACT

Introduction: The maintenance of the airway requires endotracheal intubation, which can produce tracheal pain.
Objective: To evaluate the effectiveness of monitoring of endotracheal tube cuff pressure (ETCP) to reduce tracheal pain after extubation.
Design: Cases series report.
Setting: ICU of a tertiary care hospital of Merida, Yucatan; Mexico.
Patients: Twenty postoperative ICU patients (twelve men and eight women, mean age 53.2 ± 10.2 yrs) who were underwent to endotracheal intubation.
Interventions: The endotracheal tube cuff pressure were measured and adjusted to 20 mmHg in all patients at admission; thereafter two groups (A and B) of ten patients were randomized to study. ETCP was measured in group A three times a day and group B was not monitored. A scale was used to evaluate the degree of pain after extubation.
Results: The initial pressure was 55 ± 14 mmHg in group A and 45 ± 10 mmHg in group B. At 24 hours after extubation mild pain was present in 30% of patients in group A and in 80% Group-B patients; at 48 hours pain decreased to 10% and 20% of groups A and B, respectively; at 72 all the patients were asymptomatic.
Conclusion: It is convenient the monitoring of ETCP to avoid the excessive pressure on the Trachea with the purpose to reduce the level of pain after extubation.

REFERENCES

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