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Endotracheal tube cuff pressure management in adult critical care units in the National Hospital of Sri Lanka ; A baseline audit

Authors:

Manoj Edirisooriya Maddumage ,

National Hospital of Sri Lanka, LK
About Manoj
Senior Registrar in Critical Care Medicine, National Hospital of Sri Lanka
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Atapattuge Yamini Anuchana Gunasekara,

Base Hospital, Marawila, LK
About Atapattuge
Medical officer, Base Hospital, Marawila
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Withange Don Dilshan Priyankara

National Hospital of Sri Lanka
About Withange Don
Senior Registrar in Critical care medicine, National Hospital of Sri Lanka
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Abstract

Proper management of endotracheal cuff pressure is pivotal, not only to prevent complications like tracheal mucosal damage and micro aspirations but for efficient positive pressure ventilation.  A prospective descriptive study was performed to examine the prevailing practices of endotracheal cuff pressure management (CPM) in adult intensive care units (ICUs) of the National Hospital of Sri Lanka. The auditors visited the ICUs without a prior warning and the CPM was assessed and the endotracheal cuff pressure (CP) was measured using an analogue manometer. Seventy four percent out of total of 50 patients examined had suboptimal cuff pressure recordings and 30% of them had alarmingly high pressures. Overall practice including documentation (14%), frequency (14%) and the method of CPM (20%) was significantly unsatisfactory warranting prompt measures to uplift the standards and prevent adverse consequences.  

DOI: http://doi.org/10.4038/slja.v25i1.8199
How to Cite: Maddumage, M.E., Gunasekara, A.Y.A. & Priyankara, W.D.D., (2017). Endotracheal tube cuff pressure management in adult critical care units in the National Hospital of Sri Lanka ; A baseline audit. Sri Lankan Journal of Anaesthesiology. 25(1), pp.31–34. DOI: http://doi.org/10.4038/slja.v25i1.8199
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Published on 02 Feb 2017.
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