Clinical Use of the Volume-Time Curve for Endotracheal Tube Cuff Management
dc.contributor.author | Bolzan, Douglas Willian [UNIFESP] | |
dc.contributor.author | Gomes, Walter José [UNIFESP] | |
dc.contributor.author | Peixoto, Thatiana Cristina Alves [UNIFESP] | |
dc.contributor.author | Faresin, Sonia Maria [UNIFESP] | |
dc.contributor.author | Carvalho, Antonio Carlos de Camargo [UNIFESP] | |
dc.contributor.author | Paola, Angelo Amato Vincenzo de [UNIFESP] | |
dc.contributor.author | Guizilini, Solange [UNIFESP] | |
dc.contributor.institution | Universidade Federal de São Paulo (UNIFESP) | |
dc.date.accessioned | 2016-01-24T14:38:03Z | |
dc.date.available | 2016-01-24T14:38:03Z | |
dc.date.issued | 2014-11-01 | |
dc.description.abstract | BACKGROUND: Previous investigation showed that the volume-time curve technique could be an alternative for endotracheal tube (ETT) cuff management. However, the clinical impact of the volume-time curve application has not been documented. the purpose of this study was to compare the occurrence and intensity of a sore throat, cough, thoracic pain, and pulmonary function between these 2 techniques for ETT cuff management: volume-time curve technique versus minimal occlusive volume (MOV) technique after coronary artery bypass grafting. METHODS: A total of 450 subjects were randomized into 2 groups for cuff management after intubation: MOV group (n = 222) and volume-time curve group (n = 228). We measured cuff pressure before extubation. We performed spirometry 24 h before and after surgery. We graded sore throat and cough according to a 4-point scale at 1, 24, 72, and 120 h after extubation and assessed thoracic pain at 24 h after extubation and quantified the level of pain by a 10-point scale. RESULTS: the volume-time curve group presented significantly lower cuff pressure (30.9 +/- 2.8 vs 37.7 +/- 3.4 cm H2O), less incidence and intensity of sore throat (1 h, 23.7 vs 51.4%; and 24 h, 18.9 vs 40.5%, P < .001), cough (1 h, 19.3 vs 48.6%; and 24 h, 18.4 vs 42.3%, P < .001), thoracic pain (5.2 +/- 1.8 vs 7.1 +/- 1.7), better preservation of FVC (49.5 +/- 9.9 vs 41.8 +/- 12.9%, P = .005), and FEV1, (46.6 +/- 1.8 vs 38.6 +/- 1.4%, P = .005) compared with the MOV group. CONCLUSIONS: the subjects who received the volume-time curve technique for ETT cuff management presented a significantly lower incidence and severity of sore throat and cough, less thoracic pain, and minimally impaired pulmonary function than those subjects who received the MOV technique during the first 24 h after coronary artery bypass grafting. | en |
dc.description.affiliation | Universidade Federal de São Paulo, Escola Paulista Med, Div Cardiol, BR-04042004 São Paulo, Brazil | |
dc.description.affiliation | Universidade Federal de São Paulo, Escola Paulista Med, Pneumol Div, BR-04042004 São Paulo, Brazil | |
dc.description.affiliation | Universidade Federal de São Paulo, Pirajussara Hosp, Cardiovasc Surg Discipline, BR-04042004 São Paulo, Brazil | |
dc.description.affiliation | Universidade Federal de São Paulo, São Paulo Hosp, Cardiovasc Surg Discipline, BR-04042004 São Paulo, Brazil | |
dc.description.affiliation | Universidade Federal de São Paulo, Phys Therapy Sch, Dept Human Movement Sci, BR-04042004 São Paulo, Brazil | |
dc.description.affiliationUnifesp | Universidade Federal de São Paulo, Escola Paulista Med, Div Cardiol, BR-04042004 São Paulo, Brazil | |
dc.description.affiliationUnifesp | Universidade Federal de São Paulo, Escola Paulista Med, Pneumol Div, BR-04042004 São Paulo, Brazil | |
dc.description.affiliationUnifesp | Universidade Federal de São Paulo, Pirajussara Hosp, Cardiovasc Surg Discipline, BR-04042004 São Paulo, Brazil | |
dc.description.affiliationUnifesp | Universidade Federal de São Paulo, São Paulo Hosp, Cardiovasc Surg Discipline, BR-04042004 São Paulo, Brazil | |
dc.description.affiliationUnifesp | Universidade Federal de São Paulo, Phys Therapy Sch, Dept Human Movement Sci, BR-04042004 São Paulo, Brazil | |
dc.description.source | Web of Science | |
dc.format.extent | 1628-1635 | |
dc.identifier | http://dx.doi.org/10.4187/respcare.02683 | |
dc.identifier.citation | Respiratory Care. Irving: Daedalus Enterprises Inc, v. 59, n. 11, p. 1628-1635, 2014. | |
dc.identifier.doi | 10.4187/respcare.02683 | |
dc.identifier.issn | 0020-1324 | |
dc.identifier.uri | http://repositorio.unifesp.br/handle/11600/38371 | |
dc.identifier.wos | WOS:000349200900004 | |
dc.language.iso | eng | |
dc.publisher | Daedalus Enterprises Inc | |
dc.relation.ispartof | Respiratory Care | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | sore throat | en |
dc.subject | cough | en |
dc.subject | endotracheal tube | en |
dc.subject | cuff pressure | en |
dc.subject | volume-time curve, and minimal occlusive volume | en |
dc.title | Clinical Use of the Volume-Time Curve for Endotracheal Tube Cuff Management | en |
dc.type | info:eu-repo/semantics/article |