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首页> 外文期刊>Southern African Journal of Critical Care >Tracheal tube cuff pressure monitoring: Assessing current practice in critically ill patients at Chris Hani Baragwanath Academic Hospital
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Tracheal tube cuff pressure monitoring: Assessing current practice in critically ill patients at Chris Hani Baragwanath Academic Hospital

机译：气管插管压力监测：评估Chris Hani Baragwanath学术医院危重患者的当前实践

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BACKGROUND: Intubated patients with a high tracheal tube cuff pressure (CP) are at risk of developing tracheal or subglottic stenosis. Recently an increasing number of patients have presented to our hospital with these complications.OBJECTIVES: To determine the frequency of tracheal tube CP measurements and the range of CP and to explore nursing knowledge regarding CP monitoring.METHODS: Frequency of CP measurement was assessed using a prospective chart review, followed by an interventional component. In the final stage nurses completed a self-administered questionnaire.RESULTS: A total of 304 charts from 61 patients were reviewed. Patients' ages ranged from 1 to 71 years, with a male preponderance (1.5:1). The majority of charts (87%) did not reflect a documented CP measurement and only 12 charts showed at least one measurement per shift. Only 17% of recorded CPs were within the recommended range; 59% were too low. The questionnaire was completed by only 51% of the 75 respondents. Nursing experience ranged from 3 to 35 years and 92% of respondents were trained in critical care. Knowledge of current critical care CP monitoring guidelines was reported by 62% of the respondents (n=23/37). Only 53% (20/38) reported routinely measuring CP. Almost all respondents (94%) knew of at least one complication of abnormal CP.CONCLUSION: Having a basic knowledge of CP measurement, having awareness of the complications of abnormal CP and the availability of national best practice guidelines did not translate into appropriate ICU practice. Research into effective implementation strategies to achieve best practice is needed.
机译：背景：气管插管袖带压（CP）高的插管患者有发生气管或声门下狭窄的危险。最近，越来越多的患者因这些并发症而来我院就诊。目的：确定气管插管CP的测量频率和CP的范围，并探索有关CP监测的护理知识。前瞻性图表审查，然后进行干预。在最后阶段，护士完成了一份自我管理的调查问卷。结果：回顾了来自61位患者的304张图表。患者年龄在1至71岁之间，男性占优势（1.5：1）。大多数图表（87％）未反映记录的CP测量结果，只有12个图表显示每个班次至少进行一次测量。记录的CP中只有17％在推荐范围内; 59％的人太低了。在75位受访者中，只有51％完成了问卷调查。护理经验为3到35岁，有92％的受访者接受了重症监护培训。 62％的受访者报告了当前的重症监护CP监测指南知识（n = 23/37）。仅53％（20/38）报告常规测量CP。几乎所有受访者（94％）至少知道一种异常CP的并发症。结论：具有CP测量的基本知识，对CP异常的并发症的了解以及国家最佳实践指南的可用性并未转化为适当的ICU做法。需要研究有效的实施策略以实现最佳实践。

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