Effect of patient position on endotracheal cuff pressure in mechanically ventilated critically ill patients

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dc.contributor.authorAlcan, Aliye Okgun
dc.contributor.authorvan Giersbergen, Meryem Yavuz
dc.contributor.authorDincarslan, Gulin
dc.contributor.authorHepcivici, Ziynet
dc.contributor.authorKaya, Erdem
dc.contributor.authorUyar, Mehmet
dc.date.accessioned2019-10-27T11:05:45Z
dc.date.available2019-10-27T11:05:45Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: Endotracheal tube cuff pressure must be maintained within 20-30 mH(2)O to prevent complications. There is limited literature reporting the impact of nursing care on endotracheal cuff pressure. However, few studies have reported the effect of nursing care on endotracheal cuff pressure. Objectives: This study was performed to investigate the effects of body position on endotracheal cuff pressure. Methods: Twenty-five patients receiving mechanical ventilatory therapy were placed in a baseline position (semirecumbent position with the head of the bed elevated at 30. and head in a neutral position) with endotracheal tube cuff was adjusted to 25 cmH(2)O. The patients were moved into 16 different positions: anteflexion of the head; hyperextension of the head; left lateral flexion of the head; right lateral flexion of the head; rotation of the head to the left; rotation of the head to the right; semirecumbent position with 45. elevation of the head of the bed; recumbent position with 10. elevation of the head of the bed; supine position; trendelenburg position 10.; left lateral position at 30., 45., and 90.; and right lateral position at 30., 45., and 90.. The endotracheal tube cuff pressure was measured and recorded after each position change. Results: Among the 400 endotracheal tube cuff pressure measurements (25 patients x 16 positions) 10 (2.5%) were lower than 20 cmH2O; 201 (50.3%) were between 20-30 cmH2O and 189 (47.3%) were higher than 30 cmH2O. Mean endotracheal tube cuff pressure increased from 25 to 32.59 +/- 4.08 cmH(2)O after changing the patients' position. Friedman test indicated a statistically significant deviation in the ETCP across the 16 positions (X2: 122.019, p: 0.0001). Conclusions: Body positioning during daily nursing care effected the endotracheal tube cuff pressure, suggesting that endotracheal tube cuff pressure should be measured after changing a patient's position and adjusted within the recommended range. (C) 2016 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.aucc.2016.11.006en_US
dc.identifier.endpage272en_US
dc.identifier.issn1036-7314
dc.identifier.issn1878-1721
dc.identifier.issue5en_US
dc.identifier.pmid27993545en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage267en_US
dc.identifier.urihttps://doi.org/10.1016/j.aucc.2016.11.006
dc.identifier.urihttps://hdl.handle.net/11454/31726
dc.identifier.volume30en_US
dc.identifier.wosWOS:000414347300007en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofAustralian Critical Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEndotracheal tubeen_US
dc.subjectCuff pressureen_US
dc.subjectPosition changeen_US
dc.subjectCritical careen_US
dc.subjectNursingen_US
dc.titleEffect of patient position on endotracheal cuff pressure in mechanically ventilated critically ill patientsen_US
dc.typeArticleen_US

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