Bench testing of tracheostomy tube-related insults using an instrumented manikin
Autor: | Guillaume Costa, Robert Yves Carlier, Ludivine Folliot, Mohamed Rarrbo, Jean Bergounioux, Cyrielle Le Gloanec, Etienne Saudeau, François Jouen, Guillaume Cathelain, Antoine Perrier |
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Rok vydání: | 2021 |
Předmět: |
business.industry
Early detection Tracheal wall Tracheal injury General Medicine respiratory system Manikins Tracheal tube Respiration Artificial Trachea Tracheostomy Otorhinolaryngology Posterior wall Anesthesia Intubation Intratracheal Head and neck surgery Humans Medicine Tube (fluid conveyance) business Tracheostomy tube |
Zdroj: | European Archives of Oto-Rhino-Laryngology. 279:1593-1599 |
ISSN: | 1434-4726 0937-4477 |
Popis: | Choosing the right tracheal tube for the right patient is a daily preoccupation for intensivists and emergency physicians. Tracheal tubes can generate severe complications, which are chiefly due to the pressures applied by the tube to the trachea. We designed a bench study to assess the frequency of pressure levels likely to cause tracheal injury. We tested the pressure applied on the trachea by 17 tube models of a given size range. To this end, we added a pressure sensor to the posterior tracheal wall of a standardized manikin. Only 2 of the 17 tubes generated pressures under the threshold likely to induce tracheal injury (30 mmHg/3.99 kPa). The force exerted on the posterior wall of the trachea varied widely across tube models. Most models of tracheal tubes resulted in forces applied to the trachea that are usually considered capable of causing tracheal tissue injury. Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence: How common is the problem?: step 1; Is this diagnostic or monitoring test accurate? (Diagnosis) step 5; What will happen if we do not add a therapy? (Prognosis) n/a; Does this intervention help? (Treatment Benefits) step 5; What are the COMMON harms?(Treatment Harms) step 5; What are the RARE harms? (Treatment Harms) step 5; Is this (early detection) test worthwhile? (Screening) step 5. |
Databáze: | OpenAIRE |
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