Factors affecting leak around tracheal tubes in children

David A. Finholt, Desmond B. Henry, Russell C. Raphaely

Research output: Contribution to journalArticle

59 Scopus citations

Abstract

This study determined which variables affected endotracheal tube"leak"pressures in 80 surgical patients, two weeks to 11 years of age, intubated with uncuffed tracheal tubes. We defined "leak" pressure as the inspiratory pressure needed to cause an audible escape of gas around the endotracheal tube."Leak"pressure was measured after varying either head position, tracheal tube depth within the trachea, fresh gas flow rate, or degree of neuromuscular block."Leak"pressure increased progressively from 16.9 ± 1.3 cm H20 with complete patient paralysis to 30.6 ± 1.4 cm H20 following 100 per cent recovery of neuromuscular function. Turning the head from a neutral position to one side increased "leak"pressure from 14.7 ±1.7cm H20 to24.4 ±2.5cm H20. Varying tracheal tube depth or fresh gas flow rate produced no significant change in"leak"pressure. Thus, there may be marked variability in"leak"pressure, depending on head position and degree of neuromuscular blockade. Keeping the patient fully paralyzed with the head in a neutral position provides a reliable and consistent method for measuring"leak"pressures.

Original languageEnglish (US)
Pages (from-to)326-329
Number of pages4
JournalCanadian Anaesthetists' Society Journal
Volume32
Issue number4
DOIs
StatePublished - Jul 1 1985

Keywords

  • anaesthesia: paediatric
  • intubation: endotracheal

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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