The effect of pilot balloon design on estimation of safe tracheal tube cuff pressure

K.M. Janossy, J. Pullen, D. Young, G. Bell

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

We studied the effect of pilot balloon design on the ability of experienced anaesthetists to assess and inflate tracheal tube cuffs to safe pressures. A model trachea was designed, incorporating a degree of compliance and an air leak, to evaluate six different pilot balloons grafted onto identical tracheal tubes. Pilot balloons were inflated to one of four pressures and anaesthetists were asked to estimate whether the pressure was acceptable, too low or too high. Anaesthetists were then asked to inflate the cuff of each tube. Overall, 103 (42.9%) of anaesthetists' assessments of tracheal tube cuff pressures were correct (33% correct would be expected by chance, p = 0.002). Pressures generated by anaesthetists inflating tracheal tube cuffs were very variable. Median (IQR [range]) pressures for each pilot balloon ranged from 29 (17-43 [9-56]) cmH(2)O to 74 (49-114 [4-140]) cmH(2)O (p < 0.001). The design of the pilot balloon significantly affects anaesthetists' ability to inflate tracheal tube cuffs to safe pressures.
Original languageEnglish
Pages (from-to)785-791
Number of pages7
JournalAnaesthesia
Volume65
Issue number8
Early online date22 Jun 2010
DOIs
Publication statusPublished - Aug 2010

Keywords

  • pilot balloon design
  • tracheal tube
  • anaesthetics
  • tracheal tube cuffs

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