PREVENTATIVE MEASURES AGAINST TRACHEAL INJURIES IN PATIENTS WITH ENDOTRACHEAL TUBES Armando Carlos Franco de GODOY' Ronan José VIEIRA2 RESUMO Objetivo Estudar o comportamento da pressão intracuff quando o balonete piloto está localizado nas regiões subcorpóreas do paciente. Métodos Pesquisa transversal controlada, composta por amostra de conveniência de 26 pacientes intubados. Resultados Foram obtidas 31 medidas de pressões intracuff, com média de 42,6 + - 6,8mmHg, a qual era significativamente maior que o valor médio inicial (p<0,05). Conclusão Sugerimos que o balonete piloto do tubo endotraqueal seja a este fixado por uma fita adesiva, de modo a impedir a sua migração para as regiões subcorpóreas dos pacientes, evitando o aumento da pressão intracuff. Termos de indexação: intubação, pressão do ar, pressão do balonete, traquéia. 1 Serviço de Fisioterapia, Hospital das Clínicas, Universidade Estadual de Campinas, Rua Vital Brasil, 251, Caixa Postal 6142, 13083-970, Cidade Universitária Zeferino Vaz Barão Geraldo, Campinas, SP, Brasil. Correspondência para/Correspondence to: A.C.F GODOY. E-mail: <armandogodoy@ig.com.br>. 2 Enfermaria de Emergência Clínica, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas, SP, Brasil.
Keywords:
intubation, air pressure, cuff pressure, tracheaAbstract
Objective
The purpose of this research was to study the intracuff pressure when the ba!lonet pilot was located in the sub-corporeal regions of the patient.
Methods
Controlled, cross-sectional survey of a sample of convenience (n= 26 patients with endotrachea! tubes).
Results
Thirty-one measurements of intracuff pressure were obtained, with an average va!ue of 42.6± 6.BmmHg, which was significantly higher than the initial avarage value (p<O.05).
Conclusion
lt was suggested that the bal!onet pilot of the endotracheal tube be attached to the latter by means of adhesive tape, to avoid its migration to the sub-corporea! regions of the patient, thus preventing increases in the intracuff pressure.
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