{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T02:37:27Z","timestamp":1793932647202,"version":"4.8.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T00:00:00Z","timestamp":1567036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Feline Medicine and Surgery"],"published-print":{"date-parts":[[2020,7]]},"abstract":"\n Objectives<\/jats:title>\n The aim of this study was to compare four inflation techniques on endotracheal tube cuff (ETC) pressure using a feline airway simulator.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Ten participants used four different endotracheal cuff inflation techniques to inflate the cuff of a low-pressure, high-volume endotracheal tube within a feline airway simulator. The simulator replicated an average-sized feline trachea, intubated with a 4.5 mm endotracheal tube, connected to a circle breathing system and pressure-controlled ventilation with oxygen and medical air. Participants inflated the ETC: by pilot balloon palpation (P); by instilling the minimum occlusive volume (MOV) required for loss of airway leaks during mechanical ventilation; until a passive release of pressure with use of a loss-of-resistance syringe (LOR); and with use of a syringe with a digital pressure reader (D) specifically designed for endotracheal cuff inflation. Intracuff pressure was measured by a manometer obscured to participants. The ideal pressure was considered to be between 20 and 30 cmH\n 2<\/jats:sub>\n O. Data were analysed by Shapiro\u2013Wilk, Kruskal\u2013Wallis and \u03c7\n 2<\/jats:sup>\n tests, as appropriate.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Participants were eight veterinarians and two veterinary nurses with additional training in anaesthesia. Measured median intracuff pressures for P, MOV, LOR and D, respectively, were 25 cmH\n 2<\/jats:sub>\n O (range 4\u201374 cmH\n 2<\/jats:sub>\n O), 41 cmH\n 2<\/jats:sub>\n O (range 4\u201370 cmH\n 2<\/jats:sub>\n O), 31 cmH\n 2<\/jats:sub>\n O (range 18\u201364 cmH\n 2<\/jats:sub>\n O) and 22 cmH\n 2<\/jats:sub>\n O (range 20\u201330 cmH\n 2<\/jats:sub>\n O). D performed significantly better (\n P<\/jats:italic>\n <0.001) than all other techniques, with no difference between the other techniques.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and relevance<\/jats:title>\n Use of D for cuff inflation achieved optimal cuff pressures. There may be high operator-dependent variability in the cuff pressures achieved with the use of P, MOV or LOR inflation techniques. As such, a cuff manometer is recommended when using any of these techniques.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/1098612x19871701","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T10:55:35Z","timestamp":1567076135000},"page":"641-647","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of four inflation techniques on endotracheal tube cuff pressure using a feline airway simulator"],"prefix":"10.1177","volume":"22","author":[{"given":"Donna M","family":"White","sequence":"first","affiliation":[{"name":"University Veterinary Teaching Hospital, School of Veterinary Science, University of Sydney, Camperdown, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariano","family":"Makara","sequence":"additional","affiliation":[{"name":"University Veterinary Teaching Hospital, School of Veterinary Science, University of Sydney, Camperdown, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0083-4764","authenticated-orcid":false,"given":"Fernando","family":"Martinez-Taboada","sequence":"additional","affiliation":[{"name":"University Veterinary Teaching Hospital, School of Veterinary Science, University of Sydney, Camperdown, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2253-4-8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/175045891102101103"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2013.65.5.438"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2011.09.001"},{"key":"e_1_3_3_6_2","first-page":"179","article-title":"Identification of very high cuff pressures by manual palpation of the external cuff balloon on an endotracheal tube","volume":"83","author":"Hedberg P","year":"2015","unstructured":"Hedberg P, Eklund C, Hogqvist S. 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