Limits...
Handcrafted cuff manometers do not accurately measure endotracheal tube cuff pressure.

Annoni R, de Almeida Junior AE - Rev Bras Ter Intensiva (2015)

Bottom Line: The data were compared using Wilcoxon and Spearman tests, the intraclass correlation coefficient (ICC) and limit-of-agreement analysis.Cuff pressures assessed with handcrafted devices were significantly different from commercial device measurements (pressures were higher when measured with HD1 and lower with HD2).The handcrafted manometers do not provide accurate cuff pressure measurements when compared to a cuff-specific device and should not be used to replace the commercial cuff manometers in mechanically ventilated patients.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Fisioterapia, Faculdade de Ciências Médicas de Pouso Alegre, Universidade do Vale do Sapucaí, Pouso Alegre, MG, BR.

ABSTRACT

Objective: To test the agreement between two handcrafted devices and a cuff-specific manometer.

Methods: The agreement between two handcrafted devices adapted to measure tracheal tube cuff pressure and a cuff-specific manometer was tested on 79 subjects. The cuff pressure was measured with a commercial manometer and with two handcrafted devices (HD) assembled with aneroid sphygmomanometers (HD1 and HD2). The data were compared using Wilcoxon and Spearman tests, the intraclass correlation coefficient (ICC) and limit-of-agreement analysis.

Results: Cuff pressures assessed with handcrafted devices were significantly different from commercial device measurements (pressures were higher when measured with HD1 and lower with HD2). The ICCs between the commercial device and HD1 and HD2 were excellent (ICC = 0.8 p < 0.001) and good (ICC = 0.66, p < 0.001), respectively. However, the Bland- Altman plots showed wide limits of agreement between HD1 and HD2 and the commercial device.

Conclusion: The handcrafted manometers do not provide accurate cuff pressure measurements when compared to a cuff-specific device and should not be used to replace the commercial cuff manometers in mechanically ventilated patients.

No MeSH data available.


Related in: MedlinePlus

Commercial manometer (A); handcrafted devices 1 (B) and 2 (C).
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f01: Commercial manometer (A); handcrafted devices 1 (B) and 2 (C).

Mentions: Measurements of tracheal tube cuff pressure were obtained with three instruments: onecuff-specific and two handcrafted manometers. A handheld cuff manometer (JT PoseyCompany, Arcadia, California) was used as the standard technique (named as commercialdevice), as shown in figure 1. The assessment ofcuff pressures was checked by attaching the commercial manometer extension to thetracheal tube pilot balloon via a three-way stopcock. The handcrafted devices (HD1 andHD2) were assembled with two aneroid manometers that had been removed fromsphygmomanometers [HD1 (Solidor®, Lamedid, China); and HD2(BD®, Sphygmomanometer, Germany)] and connected to athree-way stopcock.(25) Cuff pressurewas recorded by attaching the third limb of the stopcock to the cuff pilot balloon. Allinstruments were calibrated before the data collection.


Handcrafted cuff manometers do not accurately measure endotracheal tube cuff pressure.

Annoni R, de Almeida Junior AE - Rev Bras Ter Intensiva (2015)

Commercial manometer (A); handcrafted devices 1 (B) and 2 (C).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4592116&req=5

f01: Commercial manometer (A); handcrafted devices 1 (B) and 2 (C).
Mentions: Measurements of tracheal tube cuff pressure were obtained with three instruments: onecuff-specific and two handcrafted manometers. A handheld cuff manometer (JT PoseyCompany, Arcadia, California) was used as the standard technique (named as commercialdevice), as shown in figure 1. The assessment ofcuff pressures was checked by attaching the commercial manometer extension to thetracheal tube pilot balloon via a three-way stopcock. The handcrafted devices (HD1 andHD2) were assembled with two aneroid manometers that had been removed fromsphygmomanometers [HD1 (Solidor®, Lamedid, China); and HD2(BD®, Sphygmomanometer, Germany)] and connected to athree-way stopcock.(25) Cuff pressurewas recorded by attaching the third limb of the stopcock to the cuff pilot balloon. Allinstruments were calibrated before the data collection.

Bottom Line: The data were compared using Wilcoxon and Spearman tests, the intraclass correlation coefficient (ICC) and limit-of-agreement analysis.Cuff pressures assessed with handcrafted devices were significantly different from commercial device measurements (pressures were higher when measured with HD1 and lower with HD2).The handcrafted manometers do not provide accurate cuff pressure measurements when compared to a cuff-specific device and should not be used to replace the commercial cuff manometers in mechanically ventilated patients.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Fisioterapia, Faculdade de Ciências Médicas de Pouso Alegre, Universidade do Vale do Sapucaí, Pouso Alegre, MG, BR.

ABSTRACT

Objective: To test the agreement between two handcrafted devices and a cuff-specific manometer.

Methods: The agreement between two handcrafted devices adapted to measure tracheal tube cuff pressure and a cuff-specific manometer was tested on 79 subjects. The cuff pressure was measured with a commercial manometer and with two handcrafted devices (HD) assembled with aneroid sphygmomanometers (HD1 and HD2). The data were compared using Wilcoxon and Spearman tests, the intraclass correlation coefficient (ICC) and limit-of-agreement analysis.

Results: Cuff pressures assessed with handcrafted devices were significantly different from commercial device measurements (pressures were higher when measured with HD1 and lower with HD2). The ICCs between the commercial device and HD1 and HD2 were excellent (ICC = 0.8 p < 0.001) and good (ICC = 0.66, p < 0.001), respectively. However, the Bland- Altman plots showed wide limits of agreement between HD1 and HD2 and the commercial device.

Conclusion: The handcrafted manometers do not provide accurate cuff pressure measurements when compared to a cuff-specific device and should not be used to replace the commercial cuff manometers in mechanically ventilated patients.

No MeSH data available.


Related in: MedlinePlus