{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:14:23Z","timestamp":1777767263887,"version":"3.51.4"},"reference-count":7,"publisher":"Springer Publishing Company","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Doct Nurs Pract"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"\n Background:<\/jats:bold>\n The goal of endotracheal tube (ETT) cuff inflation is to produce a pressure within the range of 20\u201330 cm H\n 2<\/jats:sub>\n O to ensure a proper seal against the trachea without compromising mucosal perfusion. The gold standard for the assessment of ETT cuff pressure is a handheld manometer; however, due to a lack of availability, this is rarely performed. Using a 10-mL syringe for cuff inflation is a common practice but can lead to overinflation and higher-than-recommended pressures.\n Objective:<\/jats:bold>\n The purpose of this quality improvement project was to evaluate the incidence of ETT cuff overinflation and determine if an educational intervention advocating for lower volumes would reduce the occurrence.\n Methods:<\/jats:bold>\n The authors evaluated 50 ETT cuff pressures before and 50 after an educational intervention proposing the use of a 5-mL syringe for cuff inflation rather than a 10-mL syringe.\n Results:<\/jats:bold>\n Median cuff pressure significantly decreased from 60 cm H\n 2<\/jats:sub>\n O in the preintervention phase to 30 cm H\n 2<\/jats:sub>\n O in the postintervention phase using 5-mL syringes, a 50% decrease (\n p<\/jats:italic>\n < .001).\n Conclusions:<\/jats:bold>\n This project demonstrated that an educational presentation recommending a 5-mL syringe for ETT cuff inflation resulted in a significant reduction of cuff pressures.\n Implications for Nursing:<\/jats:bold>\n Nurse anesthetists should be aware of the risk of overinflation of endotracheal tube cuffs. Implementing a volume-based inflation method into current practice will decrease this incidence and the harmful sequelae associated with high cuff pressure.\n <\/jats:p>","DOI":"10.1891\/jdnp-2024-0036","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T01:40:22Z","timestamp":1738633222000},"page":"68-74","source":"Crossref","is-referenced-by-count":1,"title":["Implementation of a Volume-Based Technique for Endotracheal Tube Cuff Inflation: A Quality Improvement Project"],"prefix":"10.1891","volume":"19","author":[{"given":"Christopher","family":"Brown","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Jaiven","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Hranchook","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"issue":"2","key":"2026042908400671000_19.1.68.1","first-page":"147","article-title":"How to prevent endotracheal tube cuff overinflation: \u201c5 for 25\u201d","year":"2021","journal-title":"American Association of Nurse Anesthesiology Journal"},{"issue":"1","key":"2026042908400671000_19.1.68.2","first-page":"48","article-title":"Comparison of tracheal tube cuff pressure with two technique: Fixed volume and minimal leak test techniques","year":"2019","journal-title":"Journal of Cardiovascular and Thoracic Research"},{"issue":"9\u201310","key":"2026042908400671000_19.1.68.3","first-page":"e416","article-title":"Intraoperative endotracheal cuff pressure study: How education and availability of manometers help guide safer pressures","year":"2018","journal-title":"Military Medicine"},{"issue":"2","key":"2026042908400671000_19.1.68.4","first-page":"129","article-title":"Benchmarking the applicability of four methods of endotracheal tube cuff inflation for optimal sealing: A randomized trial","year":"2018","journal-title":"Journal of Perianesthesia Nursing"},{"issue":"7","key":"2026042908400671000_19.1.68.5","article-title":"Association of checklist use in endotracheal intubation with clinically important outcomes: A systematic review and meta-analysis","year":"2020","journal-title":"JAMA Network Open"},{"issue":"3","key":"2026042908400671000_19.1.68.6","first-page":"203","article-title":"Improving endotracheal cuff inflation pressures: An evidence-based project in a military medical center","year":"2020","journal-title":"American Association of Nurse Anesthesiology Journal"},{"issue":"1","key":"2026042908400671000_19.1.68.7","first-page":"66","article-title":"Subglottic perioperative airway-tube inflation via randomized evaluation with variable syringe size (Spair-Tire) study","year":"2019","journal-title":"Clinical Respiratory Journal"}],"container-title":["Journal of Doctoral Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/JDNP-2024-0036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T15:40:12Z","timestamp":1777477212000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/JDNP-2024-0036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,3]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,4,29]]},"published-print":{"date-parts":[[2026,4,1]]}},"alternative-id":["10.1891\/JDNP-2024-0036"],"URL":"https:\/\/doi.org\/10.1891\/jdnp-2024-0036","relation":{},"ISSN":["2380-9418","2380-9426"],"issn-type":[{"value":"2380-9418","type":"print"},{"value":"2380-9426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,3]]}}}