Clinical Use of the Volume-Time Curve for Endotracheal Tube Cuff Management

dc.contributor.authorBolzan, Douglas Willian [UNIFESP]
dc.contributor.authorGomes, Walter José [UNIFESP]
dc.contributor.authorPeixoto, Thatiana Cristina Alves [UNIFESP]
dc.contributor.authorFaresin, Sonia Maria [UNIFESP]
dc.contributor.authorCarvalho, Antonio Carlos de Camargo [UNIFESP]
dc.contributor.authorPaola, Angelo Amato Vincenzo de [UNIFESP]
dc.contributor.authorGuizilini, Solange [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:38:03Z
dc.date.available2016-01-24T14:38:03Z
dc.date.issued2014-11-01
dc.description.abstractBACKGROUND: 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.affiliationUniversidade Federal de São Paulo, Escola Paulista Med, Div Cardiol, BR-04042004 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Med, Pneumol Div, BR-04042004 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Pirajussara Hosp, Cardiovasc Surg Discipline, BR-04042004 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, São Paulo Hosp, Cardiovasc Surg Discipline, BR-04042004 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Phys Therapy Sch, Dept Human Movement Sci, BR-04042004 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Med, Div Cardiol, BR-04042004 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Med, Pneumol Div, BR-04042004 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Pirajussara Hosp, Cardiovasc Surg Discipline, BR-04042004 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, São Paulo Hosp, Cardiovasc Surg Discipline, BR-04042004 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Phys Therapy Sch, Dept Human Movement Sci, BR-04042004 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent1628-1635
dc.identifierhttp://dx.doi.org/10.4187/respcare.02683
dc.identifier.citationRespiratory Care. Irving: Daedalus Enterprises Inc, v. 59, n. 11, p. 1628-1635, 2014.
dc.identifier.doi10.4187/respcare.02683
dc.identifier.issn0020-1324
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/38371
dc.identifier.wosWOS:000349200900004
dc.language.isoeng
dc.publisherDaedalus Enterprises Inc
dc.relation.ispartofRespiratory Care
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectsore throaten
dc.subjectcoughen
dc.subjectendotracheal tubeen
dc.subjectcuff pressureen
dc.subjectvolume-time curve, and minimal occlusive volumeen
dc.titleClinical Use of the Volume-Time Curve for Endotracheal Tube Cuff Managementen
dc.typeinfo:eu-repo/semantics/article
Arquivos