Abstract
Continuous control of tracheal tube cuff inflation using a pneumatic device resulted in severe tracheal wall damage in ventilated piglets. This damage was similar in piglets managed with manual control of cuff inflation. The periodic hyperinflation of the tube cuff used in both groups of this study may explain these results. This manoeuvre should be avoided in clinical practice.
Highlights
Checking of the Pcuff may cause either overinflation or deflation of the cuff and may cause aspiration of contaminated secretions to the lower airway during the manoeuvre
The pneumatic device provided effective continuous control of the Pcuff, with longer periods of Pcuff within the target values than piglets managed with manual control
It is probable that these issues concerning complexity and cost could explain the lack of continuous automatic control of cuff inflation in clinical practice
Summary
Checking of the Pcuff may cause either overinflation or deflation of the cuff and may cause aspiration of contaminated secretions to the lower airway during the manoeuvre. Appropriate maintenance of pressure of the tracheal tube cuff is recommended in recent guidelines [9]. In a previous issue of Critical Care, Nseir and colleagues presented an article regarding continuous control of endotracheal cuff pressure and tracheal wall damage [1].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
