Comparison of haemodynamic responses to insertion of i-gel and endotracheal tube: A randomized controlled study in adult patients posted for elective surgery under general anaesthesia

2019 ◽  
Vol 12 (2) ◽  
pp. 101-105
Author(s):  
N Gusain ◽  
◽  
S Mitra ◽  
M Agrawal ◽  
◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
General Anaesthesia ◽  
Elective Surgery ◽  
Adult Patients ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled

Comparison of the standard and triple airway maneuvering techniques for i-gel™ placement in patients undergoing elective surgery: a randomized controlled study

2020 ◽  
Vol 34 (4) ◽  
pp. 512-518
Author(s):  
İlkay Baran Akkuş ◽  
Fatma Kavak Akelma ◽  
Merve Emlek ◽  
Derya Özkan ◽  
Jülide Ergil ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled

Sporulated Bacillus as alternative treatment for diarrhea of hospitalized adult patients under enteral nutrition: A pilot randomized controlled study

2017 ◽  
Vol 22 ◽  
pp. 13-18 ◽  
Author(s):  
Gustavo Gomes de Castro Soares ◽  
Carlos Hespanha Marinho ◽  
Regiane Pitol ◽  
Camila Andretta ◽  
Edinaldo Oliveira ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Alternative Treatment ◽  
Adult Patients ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled

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.

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