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Our hypothesis was that this mechanical device would allow significant reduction of time spent with underinflation or overinflation of P cuff, compared with routine care, using a manual manometer.
Despite intermittent control of tracheal cuff pressure (P cuff) using a manual manometer, cuff underinflation (<20 cmH2O) and overinflation (>30 cmH2O) frequently occur in intubated critically ill patients, resulting in increased risk of microaspiration and tracheal ischemic lesions.
Based on unpublished preliminary results, the mean percentage of time spent with underinflation or overinflation of tracheal cuff was 30%% (SD 20%%) in patients intubated with a PVC-cuffed tracheal tube receiving routine care of P cuff using a manual manometer.
Based on previous results [14, 15], the mean percentage of time spent with underinflation or overinflation of tracheal cuff was 30%% [standard deviation (SD) = 20 %] in patients intubated with a PVC‐cuffed tracheal tube receiving routine care of P cuff using a manual manometer.
Our hypothesis was that this mechanical device would allow significant reduction of time spent with underinflation or overinflation of Pcuff, compared with routine care, using a manual manometer.
Primary objective was to determine the efficiency of a pneumatic device in controlling Pcuff in patients intubated with polyurethane-cuffed tracheal tubes compared with routine care using a manual manometer.
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A manual manometer (Ambu® Cuff Pressure Gauge, Ambu A/S, Ballerup, Denmark) was used to check and adjust Pcuff every 8 hours.
Eighteen patients randomly received continuous control of P cuff with PressureEasy® device for 24 h, followed by discontinuous control (every 4 h) with a manual manometer for 24 h, or vice versa.
They randomly received either continuous control of P cuff with Mallinckrodt® device for 24 h, followed by discontinuous control with a manual manometer for 24 h, or the reverse sequence.
In one study, such a routine care of measuring cuff pressure with a manual manometer every 8 h was associated with cuff pressure less than 20 cm H2O in 45.3 % of patients [ 7].
Eighteen patients randomly received continuous control of Pcuff with PressureEasy® device for 24 h, followed by discontinuous control (every 4 h) with a manual manometer for 24 h, or vice versa.
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