Some comments on the cuff.

نویسنده

  • William E Hurford
چکیده

This issue of RESPIRATORY CARE includes a detailed study of a novel device to maintain a stable pressure within the cuff of an endotracheal tube (ETT).1 Why all the bother? Why do ETTs need cuffs anyway? These seem like silly questions on the surface. A certain level of occlusion between the tracheal wall and the ETT is necessary for positive-pressure ventilation. But what level of occlusion is appropriate and what level of seal is necessary?2 Another reason for the cuff is to reduce the aspiration of secretions and the occurrence of ventilator-associated pneumonia. But certainly not all patients should need to have their tracheas tightly corked to prevent pneumonia.3 Other strategies, such as the use of a supraglottic airway or noninvasive ventilation, might be equally effective or better.

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عنوان ژورنال:
  • Respiratory care

دوره 56 10  شماره 

صفحات  -

تاریخ انتشار 2011