0./N.O ANESTEZİSİ ALTINDA ENDOTRAKEAL TÜP BALONU BASINCINDA OLUŞAN ARTMA VE BUNUN ÖNLENMESİ

Year 1981, Volume: 34 Issue: 1, 43 - 50, 11.08.1981

Zeynep Esener

Abstract

O:/N.O anestezisi uygulanan 50 hastada endotrakeal tüp balonunun oda havası
veya O,/N,O karışımı ile şişirilmesi ile balon içi basınçta meydana gelen degişiklikler
karşılaştırıldı. Hava ile şişirilen Obalonlarda basınç solunumun şekline
göre değişmeksizin her olguda artmış ve olguların çoğunda ortalama kapiller kan
basıncının üzerine çıkmıştır. Gaz karışımı ile şişirilen balonlarda ise basınç giderek
azalmış ancak azalma sadece bir olguda kaçağa neden olmuştur. Bu verilere
ve uzun süreli girişimlerde trakea mukozasında iskemik değişiklikler meydana
gelme olasılığına dayanılarak bazı önerilerde bulunulmuştur.

Keywords

Endotrakeal intübasyon , Cuffed tubes , Tracheal complications

Project Number

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Endotracheal Tube Balloon Under 0./N.O Anesthesıa Increase In Pressure And Its Preventıon

Abstract

Changes of pressure in the endotracheal tube cuffs inflated sither with room air or O,/N,O mixture have been vvmpared in 50 patients under) /N,O anaesthesia. In cuffs inflated with air intracuff pressures increased regardless of the mode of ventilatation and were above the mean capillary pressure in most of the cases, In cvffs inflated with anaesthetic gas mixture intracuff pressures gradualy decreased but only in one case did this necessitate reinflatation. Accordng to these results and the possbility of iscehemic damage to the tracheal wall, cuffs sohould be inflated with anaesthetic gas mixture or if inflated with air they should be deflated and reinflated every hour after careful aspiration or pressure should be monitored continuously with a manometer and adjusted accordingiy.

Keywords

Endotracheal intubation , Cuffed tubes , Tracheal complications

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

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References

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