Disposable Airway Pressure Manometers for Endotracheal Tube Cuff Inflation

This study aimed to assess the performance, accuracy, precision and repeatability of two single-use airway pressure manometers as a cost-effective alternative for inflation of endotracheal tubes with high-volume, low-pressure cuffs. The manometers were tested in a bench top model against a U-tube ma...

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Main Authors: Moriz Ettore Klonner, Giorgio Mattaliano, Vincenzo Casoria, Claus Vogl, Christina Braun
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/13/3/475
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author Moriz Ettore Klonner
Giorgio Mattaliano
Vincenzo Casoria
Claus Vogl
Christina Braun
author_facet Moriz Ettore Klonner
Giorgio Mattaliano
Vincenzo Casoria
Claus Vogl
Christina Braun
author_sort Moriz Ettore Klonner
collection DOAJ
description This study aimed to assess the performance, accuracy, precision and repeatability of two single-use airway pressure manometers as a cost-effective alternative for inflation of endotracheal tubes with high-volume, low-pressure cuffs. The manometers were tested in a bench top model against a U-tube manometer. Eighteen units of each device were tested. Three consecutive measurements were performed at pressures of 20, 25 and 30 cmH<sub>2</sub>O each. The mean ± SD of the recorded pressures and maximum deviation from the target pressures were calculated for each device and each target pressure. For device A, the mean ± SD pressures were 19.6 ± 0.7, 23.6 ± 0.8 and 28.3 ± 0.8 cmH<sub>2</sub>O; for device B, the mean ± SD pressures were 19.3 ± 0.6, 24.3 ± 0.9 and 29.2 ± 0.67 cmH<sub>2</sub>O for target pressures of 20, 25 and 30 cmH<sub>2</sub>O, respectively. The bias for device A was −0.4, −1.4, and −1.7 cmH<sub>2</sub>O and for device B, −0.7, −0.7, and −0.8 cmH<sub>2</sub>O for target pressures of 20, 25, and 30 cmH<sub>2</sub>O, respectively. Both devices showed results comparable to those reported for commercial cuff manometers. They represent inexpensive tools that provide clinically sufficient accuracy, precision and repeatability for ETT cuff inflation between pressures of 20 and 30 cmH<sub>2</sub>O.
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spelling doaj.art-1785d6bab2d740cf9c556a1639d868722023-11-16T16:01:23ZengMDPI AGAnimals2076-26152023-01-0113347510.3390/ani13030475Disposable Airway Pressure Manometers for Endotracheal Tube Cuff InflationMoriz Ettore Klonner0Giorgio Mattaliano1Vincenzo Casoria2Claus Vogl3Christina Braun4Clinical Unit for Anaesthesiology and Perioperative Intensive Care Medicine, Vetmeduni Vienna, 1210 Vienna, AustriaClinical Unit for Anaesthesiology and Perioperative Intensive Care Medicine, Vetmeduni Vienna, 1210 Vienna, AustriaSouthern County Veterinary Specialists, Ringwood BH4 3JW, UKUnit of Molecular Genetic, Institute of Animal Breeding and Genetics, Vetmeduni Vienna, 1210 Vienna, AustriaClinical Unit for Anaesthesiology and Perioperative Intensive Care Medicine, Vetmeduni Vienna, 1210 Vienna, AustriaThis study aimed to assess the performance, accuracy, precision and repeatability of two single-use airway pressure manometers as a cost-effective alternative for inflation of endotracheal tubes with high-volume, low-pressure cuffs. The manometers were tested in a bench top model against a U-tube manometer. Eighteen units of each device were tested. Three consecutive measurements were performed at pressures of 20, 25 and 30 cmH<sub>2</sub>O each. The mean ± SD of the recorded pressures and maximum deviation from the target pressures were calculated for each device and each target pressure. For device A, the mean ± SD pressures were 19.6 ± 0.7, 23.6 ± 0.8 and 28.3 ± 0.8 cmH<sub>2</sub>O; for device B, the mean ± SD pressures were 19.3 ± 0.6, 24.3 ± 0.9 and 29.2 ± 0.67 cmH<sub>2</sub>O for target pressures of 20, 25 and 30 cmH<sub>2</sub>O, respectively. The bias for device A was −0.4, −1.4, and −1.7 cmH<sub>2</sub>O and for device B, −0.7, −0.7, and −0.8 cmH<sub>2</sub>O for target pressures of 20, 25, and 30 cmH<sub>2</sub>O, respectively. Both devices showed results comparable to those reported for commercial cuff manometers. They represent inexpensive tools that provide clinically sufficient accuracy, precision and repeatability for ETT cuff inflation between pressures of 20 and 30 cmH<sub>2</sub>O.https://www.mdpi.com/2076-2615/13/3/475cuff pressureendotracheal tubehigh-volumelow-pressuremanometer
spellingShingle Moriz Ettore Klonner
Giorgio Mattaliano
Vincenzo Casoria
Claus Vogl
Christina Braun
Disposable Airway Pressure Manometers for Endotracheal Tube Cuff Inflation
Animals
cuff pressure
endotracheal tube
high-volume
low-pressure
manometer
title Disposable Airway Pressure Manometers for Endotracheal Tube Cuff Inflation
title_full Disposable Airway Pressure Manometers for Endotracheal Tube Cuff Inflation
title_fullStr Disposable Airway Pressure Manometers for Endotracheal Tube Cuff Inflation
title_full_unstemmed Disposable Airway Pressure Manometers for Endotracheal Tube Cuff Inflation
title_short Disposable Airway Pressure Manometers for Endotracheal Tube Cuff Inflation
title_sort disposable airway pressure manometers for endotracheal tube cuff inflation
topic cuff pressure
endotracheal tube
high-volume
low-pressure
manometer
url https://www.mdpi.com/2076-2615/13/3/475
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