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首页> 美国卫生研究院文献>other >Evaluating the Knowledge of Endotracheal Cuff Pressure Monitoring Among Critical Care Providers by Palpation of Pilot Balloon and By Endotracheal Tube Cuff Manometer
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Evaluating the Knowledge of Endotracheal Cuff Pressure Monitoring Among Critical Care Providers by Palpation of Pilot Balloon and By Endotracheal Tube Cuff Manometer

机译：通过触诊先导球囊和气管插管袖带压力计评估重症监护提供者气管插管压力监测的知识

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IntroductionMishandled endotracheal cuff pressure may either make ventilation difficult or cause damage to the airway. Therefore, the aim of this audit was to assess the knowledge about endotracheal cuff pressure monitoring with a manometer and manual palpation of pilot balloon among critical care providers.MethodsThis audit includes 150 critical care providers having experience of handling endotracheal tube (ETT) cuff at critical care area of National Institute of Cardiovascular Diseases (NICVD), Karachi from April 2017 to June 2017. Knowledge about endotracheal cuff pressure monitoring with the manometer and deleterious effects of mishandled ETT cuff was assessed using a self-reported questionnaire. Enrolled healthcare providers were asked to palpate the patient and cuff pressure was recorded and categorized.ResultsOut of 150 participants, 66 (44.0%) were doctors. Only 46 (30.67%) participants had prior knowledge about ETT cuff manometer and 110 (73.33%) had never used a manometer. Similarly only 42 (28.0%) had knowledge of hazardous effects of mishandled ETT cuff. Kappa coefficient of 0.155 with p=0.015 showed significant yet low agreement between participant prediction and the actual amount of air in cuff balloon. Agreement level was comparatively higher for staff as compared to doctors with a Kappa coefficient of 0.210 (p=0.018) vs. 0.133 (p=0.099).ConclusionIn this study of knowledge and practice of ETT tube cuff pressure monitoring, we observed low levels of knowledge (30.67%), poor adherence to standard practice (73.33%) and were able to demonstrate poor agreement (Kappa coefficient 0.155; p=0.015) between the palpation method and cuff manometer measurements for assessing cuff pressure.
机译：简介气管插管的袖带压力可能使通气困难或对气道造成损害。因此，本次审核的目的是评估重症监护人员中使用压力计和手动触诊先导球囊进行气管内袖带压力监测的知识。方法该审核包括150名在重症监护室中处理气管插管（ETT）经验的重症监护人员于2017年4月至2017年6月在卡拉奇市国立心血管病研究所（NICVD）的护理区域内进行。使用自我报告的问卷评估了使用压力计监测气管内袖带压力的知识以及误操作的ETT袖带的有害影响。招募的医疗保健人员被要求触诊患者并记录袖口压力并进行分类。结果在150名参与者中，有66名（44.0％）为医生。只有46（30.67％）名参与者具有ETT袖带压力计的先验知识，而110名（73.33％）从未使用过压力计。同样，只有42个（28.0％）知道操作不当的ETT袖带会带来危害。 Kappa系数为0.155，p = 0.015，表明参与者的预测与袖带囊中的实际空气量之间存在显着但较低的一致性。与Kappa系数为0.210（p = 0.018）的医生相比，员工的协议水平相对较高（0.133（p = 0.099））。结论在有关ETT管袖套压力监测的知识和实践研究中，我们观察到低水平的知识（30.67％），对标准操作的依从性差（73.33％）并且能够证明在评估袖带压的触诊方法和袖带压力计测量之间的一致性差（Kappa系数0.155; p = 0.015）。

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