A study of inflatable cuffs on endotracheal tubes. Pressures exerted on the trachea.

A simple method of measuring the pressure exerted by the cuff of an endotracheal tube on the trachea is described and has been used to measure the pressures exerted by 16 commercially available cuffs on the wall of a model trachea. The Shiley, Portex soft-seal, Kamen-Wilkinson (Bivona Fome) tubes had the lowest tracheal wall pressures. Using this method in vivo the changes in tracheal wall pressure exerted by a low-pressure cuff during percussion and vibration physiotherapy, and when the patient "fights the ventilator", were recorded.

[1]  D. Kelly,et al.  Intubation trauma , 1973, The Journal of Laryngology & Otology.

[2]  Cross De,et al.  Tracheal cuffs , 1975, Anaesthesia.

[3]  H. Turndorf,et al.  Pressure dynamics of endotracheal and tracheostomy cuffs , 1973 .

[4]  A. Hilding.  Laryngotracheal damage during intratracheal anesthesia. Demonstration by staining the unfixed specimen with methylene blue. , 1972, The Annals of otology, rhinology, and laryngology.

[5]  I. Davidson,et al.  Lesions of the Trachea following Tracheostomy and Endotracheal Intubation , 1971 .

[6]  J. Kamen,et al.  A new low-pressure cuff for endotracheal tubes. , 1971, Anesthesiology.

[7]  F. Pearson,et al.  Incidence and Pathogenesis of Tracheal Injury Following Cuffed Tube Tracheostomy with Assisted Ventilation: Analysis of a Two‐Year Prospective Study , 1971, Annals of surgery.

[8]  G. T. Knowlson,et al.  The pressures exerted on the trachea by endotracheal inflatable cuffs. , 1970, British journal of anaesthesia.

[9]  H. Pontoppidan,et al.  Reduction of tracheal damage by the prestretching of inflatable cuffs. , 1969, Anesthesiology.

[10]  P. Safar,et al.  Tracheoesophageal fistulas following prolonged artificial ventilation via cuffed tracheostomy tubes. , 1969, Anesthesiology.

[11]  J. Cooper,et al.  The Evolution of Tracheal Injury Due to Ventilatory Assistance Through Cuffed Tubes: A pathologic Study , 1969, Annals of surgery.

[12]  P. Safar,et al.  Intratracheal cuffs: performance characteristics. , 1969, Anesthesiology.

[13]  W. Guess,et al.  Tissue reactions to organotin-stabilized polyvinyl chloride (PVC) catheters. , 1968, JAMA.

[14]  N. Lomholt.  A NEW TRACHEOSTOMY TUBE , 1967 .

[15]  M. Lunding.  THE TRACHEOTOMY TUBE AND POSTOPERATIVE TRACHEOTOMY COMPLICATIONS With Special Reference to Severe Arterial Bleeding Caused by Arrosion of the Innominate Artery , 1964, Acta anaesthesiologica Scandinavica.

[16]  Tjc.  The use of endotracheal cuff: Some data pro and conJ. Adriani and M. Phillips.Anesthesiology18:1, January, 1957 , 1958 .

[17]  AGNES P. Muir,et al.  MEMBRANOUS LARYNGO‐TRACHEITIS FOLLOWING ENDOTRACHEAL INTUBATION , 1954, Anaesthesia.

[18]  C. S. Dwyer,et al.  THE ENDOTRACHEAL TUBE: A CONSIDERATION OF ITS TRAUMATIC EFFECTS WITH A SUGGESTION FOR THE MODIFICATION THEREOF , 1949, Anesthesiology.