지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.1
- 발행연도
- 2015.1
- 수록면
- 27 - 31 (5page)
이용수
초록· 키워드
오류제보하기
Background: The proper cuff pressure is important to prevent complications related to the endotracheal tube (ETT). Weevaluated the change in ETT cuff pressure by changing the position from supine to prone without head movement.
Methods: Fifty-five patients were enrolled and scheduled for lumbar spine surgery. Neutral angle, which was the angle onthe mandibular angle between the neck midline and mandibular inferior border, was measured. The initial neutral pressureof the ETT cuff was measured, and the cuff pressure was subsequently adjusted to 26 cmH2O. Flexed or extendedangles and cuff pressure were measured in both supine and prone positions, when the patient’s head was flexed or extended.
Initial neutral pressure in prone was compared with adjusted neutral pressure (26 cmH2O) in supine. Flexed andextended pressure were compared with adjusted neutral pressure in supine or prone, respectively.
Results: There were no differences between supine and prone position for neutral, flexed, and extended angles. The initialneutral pressure increased after changing position from supine to prone (26.0 vs. 31.5 ± 5.9 cmH2O, P < 0.001). Flexed andextended pressure in supine were increased to 38.7 ± 6.7 (P < 0.001) and 26.7 ± 4.7 cmH2O (not statistically significant)than the adjusted neutral pressure. Flexed and extended pressure in prone were increased to 40.5 ± 8.8 (P < 0.001) and 29.9± 8.7 cmH2O (P = 0.002) than the adjusted neutral pressure.
Conclusions: The position change from supine to prone without head movement can cause a change in ETT cuff pressure.
목차
등록된 정보가 없습니다.
참고문헌 (11)
참고문헌 신청
Rello J / 1996 / Pneumonia in intubated patients : role of respiratory airway care / Am J Respir Crit Care Med 154:111~115
American Thoracic Society. / 2005 / Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia / Am J Respir Crit Care Med 171:388~416
Dobrin P / 1977 / Cuffed endotracheal tubes : mucosal pressures and tracheal wall blood flow / Am J Surg 133:562~568
임형선 / 2012 / Tracheal rupture after endotracheal intubation - A report of three cases - / Korean Journal of Anesthesiology 62(3):277~280
Kim JT / 2009 / Head rotation, flexion, and extension alter endotracheal tube position in adults and children / Can J Anaesth 56:751~756
American Thoracic Society. / 2005 / Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia / Am J Respir Crit Care Med 171:388~416
Dobrin P / 1977 / Cuffed endotracheal tubes : mucosal pressures and tracheal wall blood flow / Am J Surg 133:562~568
임형선 / 2012 / Tracheal rupture after endotracheal intubation - A report of three cases - / Korean Journal of Anesthesiology 62(3):277~280
Kim JT / 2009 / Head rotation, flexion, and extension alter endotracheal tube position in adults and children / Can J Anaesth 56:751~756
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