Effects of anesthesiologists awareness on the control of cuff pressure in patients submitted to cardiac surgery

Effects of anesthesiologists awareness on the control of cuff pressure in patients submitted to cardiac surgery

Introduction Sedatives applied to cardiac surgery patients can act on the respiratory tract, creating a demand for a tracheal prosthesis in the artificial route, whose distal part (cuff) has a recommended pressure of 20 to 25 mm Hg. The professional's lack of knowledge about procedures and adeq...

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Bibliographic Details
Published in:Journal of cardiac surgery Vol. 35; no. 6; pp. 1243 - 1246
Main Authors: Da Costa, Lyzandra L. M., Da Silva, Glauber M., Araújo Neto, Jaime A., Pinto, Larissa M. M., Guimarães, André R. F., Lisboa Cordeiro, André L.
Format: Journal Article
Language:English
Published: United States 01-06-2020
Subjects:
anesthetists
cuff pressure
training
cuff pressure
training
anesthetists
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Summary:Introduction Sedatives applied to cardiac surgery patients can act on the respiratory tract, creating a demand for a tracheal prosthesis in the artificial route, whose distal part (cuff) has a recommended pressure of 20 to 25 mm Hg. The professional's lack of knowledge about procedures and adequate pressure can pose risks to patients' health. Objective To analyze the effect of anesthesiologists awareness on the control of cuff pressure. Methodology A prospective cohort study. At the beginning of the research, cuff pressures were consecutively measured immediately after the patient's admission to the intensive care unit (ICU). After this period, anesthesiologists were trained by the responsible researchers for 1 month. In the final 2.5 months of the research, cuff pressure was again measured immediately after the patient's admission to the ICU. Results A total of 70 patients were evaluated, 37 of whom were pre‐awareness and 33 were post‐awareness. Male sex was the most prevalent with 46 (66%) patients and the mean age was 58 ± 10 years. There was a reduction from 76 ± 14 to 28 ± 9 in cuff pressure (P < .01). Conclusion The training of anesthesiologists who assist cardiac surgery patients allowed a reduction in cuff pressure abnormalities.
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ISSN:0886-0440
1540-8191
DOI:10.1111/jocs.14568