Literature DB >> 26816263

Comparison of fluid leakage across endotracheal tube cuffs using a three-dimensional printed model of the human trachea.

Tomohiko Kimijima1, Mitsutaka Edanaga2, Michiaki Yamakage2.   

Abstract

The objective of this study was to compare fluid leakage across endotracheal tube cuffs using a three-dimensional (3D)-printed human tracheal model that anatomically simulates the human trachea. We made two models based on computed tomography data of the neck and chest. Using a Mallinckrodt Hi-Lo™ (HL), ThinCuff(®) (TC), and Mallinckrodt TaperGuard™ (TG), we sequentially measured the amount of fluid leakage across each endotracheal tube cuff after applying saline or viscous liquid above the cuff. The TG allowed significantly less leakage than the HL and TC with both saline and the viscous liquid. Our study, using a 3D-printed tracheal model, indicated that a conical-shaped endotracheal tube cuff significantly reduces fluid leakage across the cuff compared with conventional cylindrical-shaped cuffs made of polyurethane or polyvinylchloride, contrary to the results of a previous study using a solid cylindrical structure.

Entities:  

Keywords:  Conical-shaped endotracheal tube cuff; Fluid leakage; Three-dimensional tracheal model

Mesh:

Substances:

Year:  2016        PMID: 26816263     DOI: 10.1007/s00540-016-2138-9

Source DB:  PubMed          Journal:  J Anesth        ISSN: 0913-8668            Impact factor:   2.078


  8 in total

1.  Fluid leakage past tracheal tube cuffs: evaluation of the new Microcuff endotracheal tube.

Authors:  Alexander Dullenkopf; Andreas Gerber; Markus Weiss
Journal:  Intensive Care Med       Date:  2003-08-16       Impact factor: 17.440

2.  Fluid leakage across tracheal tube cuff, effect of different cuff material, shape, and positive expiratory pressure: a bench-top study.

Authors:  Alberto Zanella; Vittorio Scaravilli; Stefano Isgrò; Manuela Milan; Massimo Cressoni; Nicolò Patroniti; Roberto Fumagalli; Antonio Pesenti
Journal:  Intensive Care Med       Date:  2010-12-09       Impact factor: 17.440

3.  Experimental characterization and constitutive modeling of the mechanical behavior of the human trachea.

Authors:  O Trabelsi; A Pérez del Palomar; J L López-Villalobos; A Ginel; M Doblaré
Journal:  Med Eng Phys       Date:  2009-11-17       Impact factor: 2.242

4.  An in vitro study to assess determinant features associated with fluid sealing in the design of endotracheal tube cuffs and exerted tracheal pressures.

Authors:  Gianluigi Li Bassi; Otavio Tavares Ranzani; Joan Daniel Marti; Valeria Giunta; Nestor Luque; Valentina Isetta; Miquel Ferrer; Ramon Farre; Guilherme Leite Pimentel; Antoni Torres
Journal:  Crit Care Med       Date:  2013-02       Impact factor: 7.598

5.  Epidemiology and outcomes of ventilator-associated pneumonia in a large US database.

Authors:  Jordi Rello; Daniel A Ollendorf; Gerry Oster; Montserrat Vera-Llonch; Lisa Bellm; Rebecca Redman; Marin H Kollef
Journal:  Chest       Date:  2002-12       Impact factor: 9.410

Review 6.  The pathogenesis of ventilator-associated pneumonia: I. Mechanisms of bacterial transcolonization and airway inoculation.

Authors:  R J Estes; G U Meduri
Journal:  Intensive Care Med       Date:  1995-04       Impact factor: 17.440

7.  Degrees of reality: airway anatomy of high-fidelity human patient simulators and airway trainers.

Authors:  Karl Schebesta; Michael Hüpfl; Bernhard Rössler; Helmut Ringl; Michael P Müller; Oliver Kimberger
Journal:  Anesthesiology       Date:  2012-06       Impact factor: 7.892

8.  The cross-sectional shape and circumference of the human trachea.

Authors:  S Mehta; H M Myat
Journal:  Ann R Coll Surg Engl       Date:  1984-09       Impact factor: 1.891

  8 in total
  1 in total

1.  Comparison of polyurethane tracheal tube cuffs and conventional polyvinyl chloride tube cuff for prevention of ventilator-associated pneumonia: A systematic review with meta-analysis.

Authors:  Minami Saito; Koichi Maruyama; Takahiro Mihara; Hiroshi Hoshijima; Go Hirabayashi; Tomio Andoh
Journal:  Medicine (Baltimore)       Date:  2021-03-05       Impact factor: 1.817

  1 in total

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