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- W2016120789 abstract "I was interested to read the case report (Steward & Lindsay. Anaesthesia 2002; 57: 264–5). This report highlights the importance of paying attention to the intracuff pressure of the airway to avoid pressure-related complications including neurovascular injuries. A few products have been marketed recently for use to maintain airway patency during anaesthesia [1-3]. All of these products have a large oropharyngeal cuff, which is designed to be inflated with a large volume of air to provide an airtight seal. Studies using these devices have recorded a very high intracuff pressure [1, 2]. In their study, Enlund and colleagues recorded a pressure of 110 cm of water, even after under-inflation with half of the recommended volume of air [4]. This study indicates that there may not be a linear relationship between the cuff volume and the intracuff pressure when the device is inserted into the airway. It will depend on the compliance of the oropharynx too, which will vary from patient to patient. Thus, the best way to minimise the pressure-related complications is to record intracuff pressure and adjust it accordingly by changing the cuff volume. Although the authors [1] have advocated a cuff pressure below 20 cm of water, others have recommended a pressure of 60 cm to be safe [2]. Hence, there is disagreement on this issue and further investigation is needed to define the safe level of pressure. In the presence of an unobstructed airway, it is difficult to detect any malposition of the tube in routine clinical practice. Thus, paying attention to the intracuff pressure could avoid many complications. Finally, hypotension associated with high intracuff pressure could contribute to such complications. We should recognise this problem and steps should be taken to avoid it." @default.
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- W2016120789 date "2002-06-13" @default.
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- W2016120789 title "Consequences of cuff pressure" @default.
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- W2016120789 doi "https://doi.org/10.1046/j.1365-2044.2002.270913.x" @default.
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