The TRACOE smart cuff manager effectively reduces pressure fluctuations in cuffs in endotracheal tubes - this is shown by a recent study (April 2020) from the university hospital in Nantes, France.
The cuff pressure in cuffs in endotracheal and tracheostomy tubes is influenced by a wide range of factors and underlies regular and unexpected considerable fluctuations (1). Micro aspiration due to an underinflated cuff highly increases the risk of nosocomial ventilator-associated pneumonia. Permanent excessive cuff pressure causes damage to the tracheal mucous tissue which can be the cause of serious complications. Therefore, regular checks are essential.
In a recent prospective randomised controlled study from the university hospital in Nantes, France from April 2020, the authors Jérôme E. Dauvergne, Anne-Laure Geffray, Karim Asehnoune, Bertrand Rozec and Karim Lakhal concluded that the adjunction of continuous Cuff control with the Tracoe smart Cuff Manager™ to routine manual intermittent correction reduced the incidence of Cuff underinflation episodes without provoking overinflation (2).
(1)M.L. Sole et al (2009) Assessment of Endotracheal Cuff Pressure by Continuous Monitoring: A Pilot Study. American Journal of Critical Care 2009; 18 (2); 133-143
(2)Conclusion in Dauvergne JE et al. Automatic regulation of the endotracheal tube cuff pressure with a portable elastomeric device. A randomised controlled study. Anaesth Crit Care Pain Med (2020), https://doi.org/10.1016/j.accpm.2020.04.007
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