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The TRACOE smart Cuffmanager effectively reduces pressure fluctuations in cuffs of endotracheal tubes - this is shown in a recent study (April 2020) from the University Hospital in Nantes, France.
The TRACOE smart Cuffmanager effectively reduces pressure fluctuations in cuffs of endotracheal tubes - this is shown in a recent study (April 2020) from the University Hospital in Nantes, France.
The cuff pressure in cuffs of endotracheal tubes and tracheostomy tubes is subject to constant and sometimes considerable fluctuations, as it is influenced by various factors (1). Too low cuff pressures favour microaspiration, which can lead to nosocomial ventilator-associated pneumonia (VAP). A permanently too high cuff pressure leads to damage of the tracheal mucosa, the resulting complications can be considerable. Therefore, regular checking is essential.
In einer aktuellen Studie des Universitätsklinikums in Nantes in Frankreich vom April 2020, schlussfolgerten die Autoren Jérôme E. Dauvergne, Anne-Laure Geffray, Karim Asehnoune, Bertrand Rozec und Karim Lakhal in einer prospektiven, randomisierten, kontrollierten Studie, dass die Ergänzung der routinemäßigen manuellen intermittierenden Korrektur durch die kontinuierliche Kontrolle des Cuff mit dem TRACOE smart Cuffmanager™ die Inzidenz von Episoden mit zu geringem Cuffdruck (<20mbar) signifikant senkte, ohne einen Überdruck hervorzurufen (2).
You can download the summary in German here.
If you are interested in the study, please call us!
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(1)M.L. Sole et al (2009) Assessment of Endotracheal Cuff Pressure by Continuous Monitoring: A Pilot Study. American Journal of Critical Care 2009; 18 (2); 133-143
(2)Conclusion in Dauvergne JE et al. Automatic regulation of the endotracheal tube cuff pressure with aportable elastomeric device. A randomised controlled study. Anaesth Crit Care Pain Med (2020), https://doi.org/10.1016/j.accpm.2020.04.007
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Swallowing therapy as a key factor for subsequent medications