Cuff Overinflation, Cuff Underinflation
Conditions
Keywords
tracheal cuff, cuff overinflation, cuff underinflation
Brief summary
Despite intermittent control of tracheal cuff pressure using a manual manometer, cuff underinflation and overinflation frequently occur in critically ill patients, resulting in increased risk for microaspiration and tracheal ischemic lesions.
Detailed description
The aim of this study is to determine the efficiency of Pressure easy® device (Smiths medical cuff pressure controller) in continuous control of tracheal cuff pressure.
Interventions
Control 24h with manual control using a manometer followed by 24h of continuous control using a mechanical device.
Continuous control of tracheal cuff pressure using a mechanical device for 24h followed by manual control of cuff pressure using a manometer.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients intubated in the ICU with a polyvinyl chloride (PVC) cuffed tracheal tube. * Predicted duration of mechanical ventilation \> or = 48h. * Age \> or = 18 years. * Signed informed consent.
Exclusion criteria
* Anticipated duration of mechanical ventilation\<48h after randomization. * Tracheostomized patients. * Patients with contraindication for semirecumbent position. * Patients participating to another trial that might influence this study results.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of recording time spent with cuff overinflation or underinflation | 48 hours | Continuous recording of cuff pressure will be performed during two 24-h periods (with or without Pressure easy® device) |
Countries
Spain