Effect of Body Position Change and Vital Signals on Endotracheal Tube Cuff Pressure Variations
Background: The body position change, as a common intervention in the intensive care unit (ICU), may affect endotracheal tube cuff pressure changes.Aim: This study investigated the effect of body position change and vital signals on endotracheal tube cuff pressure in children after bidirectional Gle...
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| Format: | Article |
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Mashhad University of Medical Sciences
2022-04-01
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| Series: | Journal of Evidence-Based Care |
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| Online Access: | https://ebcj.mums.ac.ir/article_19374_2c8a78dc606a42967a0fc16edfc3e82f.pdf |
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| author | Mahmood Hosseinzadeh Maleki Mohamad Amin Younessi Heravi Reza Ghasemi Rasool Gharaee Mohsen Yaghubi |
| author_facet | Mahmood Hosseinzadeh Maleki Mohamad Amin Younessi Heravi Reza Ghasemi Rasool Gharaee Mohsen Yaghubi |
| author_sort | Mahmood Hosseinzadeh Maleki |
| collection | DOAJ |
| description | Background: The body position change, as a common intervention in the intensive care unit (ICU), may affect endotracheal tube cuff pressure changes.Aim: This study investigated the effect of body position change and vital signals on endotracheal tube cuff pressure in children after bidirectional Glenn shunt surgery.Method: This randomized controlled trial was conducted on 29 children with an oral endotracheal tube hospitalized in the ICU after Glenn shunt surgery. The endotracheal tube cuff pressure was measured at the patient’s bed placed at a 30-degree angle. Other positions included right and left lateral in bed at a 30° upward angle as well as right and left lateral in bed angle at a 45° angle, respectively. The measurements were repeated every 10 min three times in different positions. Vital signals were measured in each group. The data were analyzed using SPSS 20.Results: The results showed a significant relationship (P<0.001) between the body position change and level of cuff pressure after positioning patient’s body on their right side at an angle of 30˚, left side at an angle of 30° (P=0.004), and right side at an angle of 45° (P=0.010). The results showed no significant correlation between vital signals and endotracheal tube cuff pressure, except in mean arterial pressure.Implications for Practice: It is recommended that endotracheal tube cuff pressure in patients should be checked and corrected (if necessary), after changing the patient’s body position. |
| first_indexed | 2024-12-12T05:51:25Z |
| format | Article |
| id | doaj.art-17c64b9dd30d4a54bbb05583fab7c398 |
| institution | Directory Open Access Journal |
| issn | 2008-2487 2008-370X |
| language | fas |
| last_indexed | 2024-12-12T05:51:25Z |
| publishDate | 2022-04-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Evidence-Based Care |
| spelling | doaj.art-17c64b9dd30d4a54bbb05583fab7c3982022-12-22T00:35:40ZfasMashhad University of Medical SciencesJournal of Evidence-Based Care2008-24872008-370X2022-04-01121142210.22038/ebcj.2021.60071.256019374Effect of Body Position Change and Vital Signals on Endotracheal Tube Cuff Pressure VariationsMahmood Hosseinzadeh Maleki0Mohamad Amin Younessi Heravi1Reza Ghasemi2Rasool Gharaee3Mohsen Yaghubi4Associated Professor, Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Department of Medical Physics and Radiology, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.Assistant Professor, Department of Cardiology, 9-Day Hospital, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, IranMSc in Emergency Nursing, Department of Emergency Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IranMSc in Extra-Corporeal Technology (Perfusion), Department of Extra-Corporeal Circulation (ECC), Razavi Hospital, Imam Reza International University, Mashhad, Iran.Background: The body position change, as a common intervention in the intensive care unit (ICU), may affect endotracheal tube cuff pressure changes.Aim: This study investigated the effect of body position change and vital signals on endotracheal tube cuff pressure in children after bidirectional Glenn shunt surgery.Method: This randomized controlled trial was conducted on 29 children with an oral endotracheal tube hospitalized in the ICU after Glenn shunt surgery. The endotracheal tube cuff pressure was measured at the patient’s bed placed at a 30-degree angle. Other positions included right and left lateral in bed at a 30° upward angle as well as right and left lateral in bed angle at a 45° angle, respectively. The measurements were repeated every 10 min three times in different positions. Vital signals were measured in each group. The data were analyzed using SPSS 20.Results: The results showed a significant relationship (P<0.001) between the body position change and level of cuff pressure after positioning patient’s body on their right side at an angle of 30˚, left side at an angle of 30° (P=0.004), and right side at an angle of 45° (P=0.010). The results showed no significant correlation between vital signals and endotracheal tube cuff pressure, except in mean arterial pressure.Implications for Practice: It is recommended that endotracheal tube cuff pressure in patients should be checked and corrected (if necessary), after changing the patient’s body position.https://ebcj.mums.ac.ir/article_19374_2c8a78dc606a42967a0fc16edfc3e82f.pdfcuff pressureendotracheal intubationvital signs |
| spellingShingle | Mahmood Hosseinzadeh Maleki Mohamad Amin Younessi Heravi Reza Ghasemi Rasool Gharaee Mohsen Yaghubi Effect of Body Position Change and Vital Signals on Endotracheal Tube Cuff Pressure Variations Journal of Evidence-Based Care cuff pressure endotracheal intubation vital signs |
| title | Effect of Body Position Change and Vital Signals on Endotracheal Tube Cuff Pressure Variations |
| title_full | Effect of Body Position Change and Vital Signals on Endotracheal Tube Cuff Pressure Variations |
| title_fullStr | Effect of Body Position Change and Vital Signals on Endotracheal Tube Cuff Pressure Variations |
| title_full_unstemmed | Effect of Body Position Change and Vital Signals on Endotracheal Tube Cuff Pressure Variations |
| title_short | Effect of Body Position Change and Vital Signals on Endotracheal Tube Cuff Pressure Variations |
| title_sort | effect of body position change and vital signals on endotracheal tube cuff pressure variations |
| topic | cuff pressure endotracheal intubation vital signs |
| url | https://ebcj.mums.ac.ir/article_19374_2c8a78dc606a42967a0fc16edfc3e82f.pdf |
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