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Prehospital Emergency Care Volume 11, 2007 - Issue 3
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Education andPractice

Practicing Paramedics Cannot Generate or Estimate Safe Endotracheal Tube Cuff Pressure Using Standard Techniques

Vivek Parwani Division of Emergency Medicine, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut
, MD,
Robert J. Hoffman Department of Emergency Medicine, Beth Israel Medical Center, Albert Einstein College of Medicine, New York, New York
, MD,
Allison Russell Department of Emergency Medicine, Beth Israel Medical Center, Albert Einstein College of Medicine, New York, New York
, MD,
Chetan Bharel Department of Emergency Medicine, Beth Israel Medical Center, Albert Einstein College of Medicine, New York, New York
, MD,
Christine Preblick Department of Emergency Medicine, Beth Israel Medical Center, Albert Einstein College of Medicine, New York, New York
, MD &
In-Hei Hahn Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians andSurgeons, New York, New York
, MD
Pages 307-311 | Received 24 May 2006, Accepted 29 Dec 2006, Published online: 02 Jul 2009

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Abdelrhman Alshawadfy, Wesam F. Alyeddin & Mohamed A. Elsadany. (2022) Endotracheal tube cuff inflation pressure varieties and response to education among anesthetists. Egyptian Journal of Anaesthesia 38:1, pages 174-178.
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Elliot Carhart, Logan H. Stuck & Joshua G. Salzman. (2016) Achieving a Safe Endotracheal Tube Cuff Pressure in the Prehospital Setting: Is It Time to Revise the Standard Cuff Inflation Practice?. Prehospital Emergency Care 20:2, pages 273-277.
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Blair L. Bigham, Jason E. Buick, Steven C. Brooks, Merideth Morrison, Kaveh G. Shojania & Laurie J. Morrison. (2012) Patient Safety in Emergency Medical Services: A Systematic Review of the Literature. Prehospital Emergency Care 16:1, pages 20-35.
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Articles from other publishers (31)

Ruo S. Chen, Laurel O’Connor, Matthew R. Rebesco, Kara L. LaBarge, Edgar J. Remotti & Joseph C. Tennyson. (2021) Prehospital Intubations Are Associated with Elevated Endotracheal Tube Cuff Pressures: A Cross-Sectional Study Characterizing ETT Cuff Pressures at a Tertiary Care Emergency Department. Prehospital and Disaster Medicine 36:3, pages 283-286.
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Ha Yeon Park, Mina Kim & Junyong In. (2020) Does the minimal occlusive volume technique provide adequate endotracheal tube cuff pressure to prevent air leakage?: a prospective, randomized, crossover clinical study. Anesthesia and Pain Medicine 15:3, pages 365-370.
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Donna M White, Mariano Makara & Fernando Martinez-Taboada. (2019) Comparison of four inflation techniques on endotracheal tube cuff pressure using a feline airway simulator. Journal of Feline Medicine and Surgery 22:7, pages 641-647.
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Nádia Maria da Conceição Duarte, Ana Maria Menezes Caetano, Gustavo de Oliveira Arouca, Andrea Tavares Ferrreira & José Luiz de Figueiredo. (2020) Subjective method for tracheal tube cuff inflation: performance of anesthesiology residents and staff anesthesiologists. Prospective observational study. Brazilian Journal of Anesthesiology (English Edition) 70:1, pages 9-14.
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Nadia Maria da Conceição Duarte, Ana Maria Menezes Caetano, Gustavo de Oliveira Arouca, Andrea Tavares Ferrreira & José Luiz de Figueiredo. (2020) Insuflação de balonete de tubo traqueal por método subjetivo: desempenho de médicos residentes e especialistas em anestesiologia. Estudo prospectivo observacional. Brazilian Journal of Anesthesiology 70:1, pages 9-14.
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Sarvin Sanaie, Farzad Rahmani, Sara Chokhachian, Ata Mahmoodpoor, Jafar Rahimi Panahi, Robab Mehdizadeh Esfanjani, Masomeh Mirzaei & Hassan Soleimanpour. (2019) Comparison of tracheal tube cuff pressure with two technique: fixed volume and minimal leak test techniques. Journal of Cardiovascular and Thoracic Research 11:1, pages 48-52.
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Eric B. Rosero, Esra Ozayar, Javier Eslava-SchmalbachAbu Minhajuddin & Girish P. Joshi. (2018) Effects of Increasing Airway Pressures on the Pressure of the Endotracheal Tube Cuff During Pelvic Laparoscopic Surgery. Anesthesia & Analgesia 127:1, pages 120-125.
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C. A. Hockey, A. A. J. van Zundert & J. D. Paratz. (2016) Does Objective Measurement of Tracheal Tube Cuff Pressures Minimise Adverse Effects and Maintain Accurate Cuff Pressures? A Systematic Review and Meta-Analysis. Anaesthesia and Intensive Care 44:5, pages 560-570.
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Timothy C. Hardcastle, Michael Faurie & David J.J. Muckart. (2016) Endotracheal tube cuff pressures and tube position in critically injured patients on arrival at a referral centre: Avoidable harm?. African Journal of Emergency Medicine 6:1, pages 24-29.
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Bülent Serhan Yurtlu, Volkan Hanci, Bengü Köksal, Dilek Okyay, Hilal Ayoğlu & Işıl Özkoçak Turan. (2015) Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate. Brazilian Journal of Anesthesiology (English Edition) 65:6, pages 455-460.
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Bülent Serhan Yurtlu, Volkan Hanci, Bengü Köksal, Dilek Okyay, Hilal Ayoğlu & Işıl Özkoçak Turan. (2015) Impacto do anestesiologista em treinamento sobre as pressões do manguito de máscara laríngea e incidência de eventos adversos. Brazilian Journal of Anesthesiology 65:6, pages 455-460.
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Seyed Alireza Seyed Siamdoust, Masood Mohseni & Arash Memarian. (2015) Endotracheal Tube Cuff Pressure Assessment: Education May Improve but not Guarantee the Safety of Palpation Technique. Anesthesiology and Pain Medicine 5:3.
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Joanne D Fisher, Karoline Freeman, Aileen Clarke, Peter Spurgeon, Mike Smyth, Gavin D Perkins, Mark-Alexander Sujan & Matthew W Cooke. (2015) Patient safety in ambulance services: a scoping review. Health Services and Delivery Research 3:21, pages 1-250.
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Ebenezer Owusu Darkwa, Frank Boni, Eugenia Lamptey, Yaw Adu-Gyamfi, Christian Owoo, Robert Djagbletey, Alfred Edwin Yawson, Edmund Ayesu & Daniel Akwanfo Yaw Sottie. (2015) Estimation of Endotracheal Tube Cuff Pressure in a Large Teaching Hospital in Ghana. Open Journal of Anesthesiology 05:12, pages 233-241.
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Anna Abelsson, Ingrid Rystedt, Björn-Ove Suserud & Lillemor Lindwall. (2014) Mapping the use of simulation in prehospital care – a literature review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 22:1.
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Ylián Ramírez, Francisca L. Tripp, Lizbeth Sandoval, Ángel D. Santana & Fiacro Jiménez. (2014) Assessment of cuff presure during general anesthesia in adult patients. Revista Médica Del Hospital General De México 77:4, pages 167-172.
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Joy Dawes, Padmanabhan Ramnarayan & Daniel Lutman. (2014) Stabilisation and Transport of the Critically Ill Child. Journal of the Intensive Care Society 15:1, pages 34-42.
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Falko Harm, Mathias Zuercher, Marco Bassi & Wolfgang Ummenhofer. (2013) Prospective observational study on tracheal tube cuff pressures in emergency patients– is neglecting the problem the problem?. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 21:1.
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Thomas Grant. (2013) Do current methods for endotracheal tube cuff inflation create pressures above the recommended range? A review of the evidence. Journal of Perioperative Practice 23:12, pages 292-295.
Crossref
Thomas Grant. (2013) Do Current Methods for Endotracheal Tube Cuff Inflation Create Pressures above the Recommended Range? A Review of the Evidence. Journal of Perioperative Practice 23:9, pages 198-201.
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S.A. Michlig. (2013) Anaesthetic staff cannot identify extremely high tracheal tube cuff pressures by palpation of the pilot balloon. British Journal of Anaesthesia 111:2, pages 300-301.
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Akwasi Antwi-Kusi, Gabriel Boakye & Wilfred Sam Awortwi. (2013) Endotracheal Cuff Pressures Generated by Different Members of the Anaesthesia Services in a Ghanaian Teaching Hospital. Open Journal of Anesthesiology 03:10, pages 427-432.
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Pervez Sultan, Brendan Carvalho, Bernd Oliver Rose & Roman Cregg. (2011) Endotracheal Tube Cuff Pressure Monitoring: A Review of the Evidence. Journal of Perioperative Practice 21:11, pages 379-386.
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R. D. C. Kumar & N. P. Hirsch. (2011) Clinical evaluation of stethoscope-guided inflation of tracheal tube cuffs. Anaesthesia 66:11, pages 1012-1016.
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Blair L. Bigham, Ellen Bull, Merideth Morrison, Rob Burgess, Janet Maher, Steven C. Brooks & Laurie J. Morrison. (2015) Patient safety in emergency medical services: executive summary and recommendations from the Niagara Summit. CJEM 13:01, pages 13-18.
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K. M. Janossy, J. Pullen, D. Young & G. Bell. (2010) The effect of pilot balloon design on estimation of safe tracheal tube cuff pressure. Anaesthesia 65:8, pages 785-791.
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William W. Tollefsen, Jacob Chapman, Michael Frakes, Michael Gallagher, Melissa Shear & Stephen H. Thomas. (2010) Endotracheal Tube Cuff Pressures in Pediatric Patients Intubated Before Aeromedical Transport. Pediatric Emergency Care 26:5, pages 361-363.
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G. Bell & K. Janossy. (2010) Cuffed or uncuffed tubes during anaesthesia in infants and small children. British Journal of Anaesthesia 104:3, pages 387-388.
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Robert J. Hoffman, David Farcy & Thomas Scalea. (2009) Ethics, equipoise, and evidence: when should investigators decide to not test their hypothesis. The American Journal of Emergency Medicine 27:8, pages 983-985.
Crossref
Jacob Chapman, Daniel Pallin, Larisa Ferrara, Sarah Mortell, John Pliakas, Melissa Shear & Stephen Thomas. (2009) Endotracheal tube cuff pressures in patients intubated before transport. The American Journal of Emergency Medicine 27:8, pages 980-982.
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Ernest E. Wang, Joshua Quinones, Michael T. Fitch, Suzanne Dooley-Hash, Sharon Griswold-Theodorson, Ron Medzon, Frederick Korley, Torrey Laack, Adam Robinett & Lamont Clay. (2008) Developing Technical Expertise in Emergency Medicine-The Role of Simulation in Procedural Skill Acquisition. Academic Emergency Medicine 15:11, pages 1046-1057.
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