Tuberc Respir Dis.  2004 Nov;57(5):434-438.

The Effects of Tidal Volume on Minimal Occlusion Pressure of Endotracheal Tube Cuff in Patients with Same Peak Inspiratory pressure

• Sohn JW
• Kim TH
• Yoon HJ
• Shin DH
• Park SS

Abstract

BACKGROUND: An excessive endotracheal cuff pressure can cause tracheal injury, and insufficient cuff pressure may not generate an effective cuff seal. The peak inspiratory pressure influences the minimal occlusion pressure of the endotracheal tube cuff. However, the relationship between the minimal occlusion pressure and the tidal volume has not been investigated. This study was conducted to estimate the relationship between the tidal volume and the minimal occlusion pressure of the cuff.
METHODS
Ten mechanically ventilated patients were included. The minimal occlusion pressure of the cuff was measured using a pressure gauge. The basal tidal volume was increased and decreased as much as 10% whilst maintaining the same peak inspiratory pressure. The, minimal occlusion pressures were then measured in the high and low tidal volume state, respectively.
RESULTS
The peak inspiratory pressure was 32.6+/-.72 cmH2O and the minimal occlusion pressure was 19.0+/-2.26 mmHg in the basal ventilator setting. There was a significant relationship between the peak inspiratory pressure and the minimal occlusion pressure(r=0.77, p<0.01). The minimal occlusion pressure of the cuff was increased to 20.3+/-2.4 mmHg in the high tidal volume state(p<0.05), and decreased to 16.8+/-3.01 mmHg in the low tidal volume state (p<0.001).
CONCLUSION
The minimal occlusion pressure of the cuff can be influenced by changes in the tidal volume as well as by the peak inspiratory pressure.

Keyword

Cuff pressure; Peak inspiratory pressure; Tidal volume

MeSH Terms

Humans
Tidal Volume*
Ventilators, Mechanical