scholarly journals Continuous control of tracheal cuff pressure and microaspiration of gastric contents: a randomized controlled study

Critical Care ◽  
2011 ◽  
Vol 15 (S1) ◽  
Author(s):  
S Nseir ◽  
F Zerimech ◽  
C Fournier ◽  
R Lubret ◽  
P Ramon ◽  
...  
Keyword(s):  
Cuff Pressure ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Continuous Control ◽  
Randomized Controlled ◽  
Gastric Contents ◽  
Tracheal Cuff

scholarly journals Efficiency of a pneumatic device in controlling cuff pressure of polyurethane-cuffed tracheal tubes: a randomized controlled study

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Emmanuelle Jaillette ◽  
Farid Zerimech ◽  
Julien De Jonckheere ◽  
Demosthenes Makris ◽  
Malika Balduyck ◽  
...  
Keyword(s):  
Cuff Pressure ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Pneumatic Device

scholarly journals Automatic regulation of the endotracheal tube cuff pressure with a portable elastomeric device. A randomized controlled study

2020 ◽  
Author(s):  
Jérôme E Dauvergne ◽  
Anne-Laure GEFFRAY ◽  
Karim ASEHNOUNE ◽  
Bertrand ROZEC ◽  
Karim LAKHAL
Keyword(s):  
Endotracheal Tube ◽  
Cuff Pressure ◽  
Randomized Controlled Study ◽  
Automatic Regulation ◽  
Controlled Study ◽  
Endotracheal Tube Cuff ◽  
Tube Cuff ◽  
Randomized Controlled ◽  
Manual Adjustment ◽  
To Receive

Abstract Background Endotracheal tube cuff underinflation contributes to microaspiration of contaminated oropharyngeal content, source of pneumonia. Overinflation exposes to airway damage. Intermittent manual adjustment of the cuff pressure (P cuff ) may delay the detection of under- or overinflation. Devices for automated continuous adjustment of P cuff are promising but some are inconvenient, expensive or even harmful. This prospective randomized controlled study tested whether the Tracoe Smart Cuff Manager TM reduced the rate of patients undergoing ≥1 episode of underinflation (P cuff <20 cmH 2 O), as compared with routine manual P cuff adjustment. Secondary endpoints included comparisons of the rate of patients with ≥1 overinflation episode (P cuff >30 cmH 2 O), of the incidence of under- and overinflation episodes and of their magnitude. Methods Patients likely to receive invasive mechanical ventilation for >48 hours because of acute brain injury were randomly allocated to receive, during 48 hours, automated P cuff adjustment (combined with manual adjustment) or manual adjustment alone. In each group, P cuff was measured with a dedicated manual manometer, at least every 8 hours. Results Sixty patients were analyzed (28 patients with automated and 32 with manual P cuff adjustment) for 506 measurements of P cuff (237 and 269, respectively). As compared with manual adjustment, automated adjustment of P cuff was associated with 1) a lower rate of patients with ≥1 episode of underinflation (63% and 18%, respectively, p<0.001), 2) a lower incidence of underinflation episodes (15% vs. 2%;p<0.001), 3) a lower rate of manual adjustments (77% vs. 56%;p<0.001) and 4) manual adjustments of lower magnitude (5.9±4.5 vs. 3.6±4.7 cmH 2 O;p<0.001). For overinflation, there was no significant between-groups differences (p>0.99). Conclusions The adjunction of a continuous P cuff control with the Tracoe Smart Cuff Manager TM to routine manual intermittent adjustment reduced both the incidence of P cuff underinflation episodes and their magnitude without provoking overinflation.

Continuous Control of Tracheal Cuff Pressure and Microaspiration of Gastric Contents in Critically Ill Patients

2011 ◽  
Vol 184 (9) ◽  
pp. 1041-1047 ◽  
Author(s):  
Saad Nseir ◽  
Farid Zerimech ◽  
Clément Fournier ◽  
Rémy Lubret ◽  
Philippe Ramon ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Cuff Pressure ◽  
Continuous Control ◽  
Gastric Contents ◽  
Tracheal Cuff

Foreign language learning in older age does not improve memory or intelligence: Evidence from a randomized controlled study.

2020 ◽  
Vol 35 (2) ◽  
pp. 212-219
Author(s):  
Rasmus Berggren ◽  
Jonna Nilsson ◽  
Yvonne Brehmer ◽  
Florian Schmiedek ◽  
Martin Lövdén
Keyword(s):  
Foreign Language ◽  
Language Learning ◽  
Foreign Language Learning ◽  
Older Age ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled
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