Mohammed, S., Shawer, O., Mohamed, M., Mohammed, O. (2021). Relation Between Endotracheal Tube Cuff Pressure Measurements and The Incidence of Ventilator Associated Pneumonia. Assiut Scientific Nursing Journal, 9(26), 140-148. doi: 10.21608/asnj.2021.84955.1213
Seham Hashem Mohammed; Olfat Abd El Ghany Shawer; Mona Aly Mohamed; Osama Ali Mohammed. "Relation Between Endotracheal Tube Cuff Pressure Measurements and The Incidence of Ventilator Associated Pneumonia". Assiut Scientific Nursing Journal, 9, 26, 2021, 140-148. doi: 10.21608/asnj.2021.84955.1213
Mohammed, S., Shawer, O., Mohamed, M., Mohammed, O. (2021). 'Relation Between Endotracheal Tube Cuff Pressure Measurements and The Incidence of Ventilator Associated Pneumonia', Assiut Scientific Nursing Journal, 9(26), pp. 140-148. doi: 10.21608/asnj.2021.84955.1213
Mohammed, S., Shawer, O., Mohamed, M., Mohammed, O. Relation Between Endotracheal Tube Cuff Pressure Measurements and The Incidence of Ventilator Associated Pneumonia. Assiut Scientific Nursing Journal, 2021; 9(26): 140-148. doi: 10.21608/asnj.2021.84955.1213
Relation Between Endotracheal Tube Cuff Pressure Measurements and The Incidence of Ventilator Associated Pneumonia
1Assistant Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Egypt.
2Assistant Professors of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt
3Professor of Anesthesia & intensive care, Faculty of Medicine, Assiut University, Egypt.
Abstract
The importance of cuff pressure in endotracheal tube management cannot be overstated. Guidelines recommend that a cuff pressure should be in a range of 20 to 30 cm H2O. Low cuff pressure increase risk for micro-aspiration of subglottic secretions. This micro-aspiration is considered the major pathogenic mechanism for ventilator-associated pneumonia, complication with marked morbidity and mortality. Aim: This study was carried out to determine the relation between endotracheal tube cuff pressure and the incidence of ventilator-associated pneumonia. Design: Descriptive research design. Setting: In two critical care units at Assiut Main University Hospital: Trauma ICU and general ICU. Subjects: A convenience sample of 60 critically ill patients. Tools: Three tools were utilized to collect data of study, Tool I: Patient assessment sheet. Tool II: Endotracheal tube cuff pressure measurements. Tool III: Ventilator- associated pneumonia assessment sheet. Method: The researcher used preparatory, implementation and evaluation phases to implement this study. Results: Finding of the present study revealed that there was significant statistical relationship between endotracheal tube cuff pressure and incidence of ventilator associated pneumonia with (P value < 0.05). Conclusion: There is a significant statistical relation between endotracheal tube cuff pressure and incidence of ventilator-associated pneumonia. Recommendations: Endotracheal tube cuff pressure measurements should be standardized as a basic part of care provided to all critically ill patients in intensive care units.
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