{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:17:10Z","timestamp":1791505030893,"version":"4.3.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T00:00:00Z","timestamp":1684800000000},"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":["Respir Care"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>The main functions of the endotracheal tube (ETT) cuff are to prevent aspiration and to allow pressurization of the respiratory system. For this purpose, it is essential to maintain adequate pressure inside the cuff, thus reducing the risks for the patient. It is regularly checked using a manometer and is considered the best alternative. The objective of this study was to evaluate the cuff pressure behavior of different ETTs during the simulation of an inflation maneuver using different manometers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A bench study was performed. Four brands of 8-mm internal diameter single lumen with a Murphy eye ETT with cuff and 3 different brands of manometers were used. In addition, a pulmonary mechanics monitor was connected to the inside of the cuff through the body of the distal end of the ETT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      A total of 528 measurements were made on the 4 ETTs. During the complete procedure (connection and disconnection), there was a significant pressure drop of 7 \u00b1 1.4 cm H\n                      <jats:sub>2<\/jats:sub>\n                      O from the initial pressure (P\n                      <jats:sub>initial<\/jats:sub>\n                      ) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), of which 6 \u00b1 1.4 cm H\n                      <jats:sub>2<\/jats:sub>\n                      O was lost during connection (difference between P\n                      <jats:sub>initial<\/jats:sub>\n                      and P\n                      <jats:sub>connection<\/jats:sub>\n                      ). The P\n                      <jats:sub>reconnection<\/jats:sub>\n                      value was 19.1 \u00b1 1.6 cm H\n                      <jats:sub>2<\/jats:sub>\n                      O, showing a significant total pressure drop of 11 \u00b1 1.6 cm H\n                      <jats:sub>2<\/jats:sub>\n                      O (difference between P\n                      <jats:sub>initial<\/jats:sub>\n                      and P\n                      <jats:sub>reconnection<\/jats:sub>\n                      ) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). The P\n                      <jats:sub>final<\/jats:sub>\n                      mean was 29.6 \u00b1 1.3 cm H\n                      <jats:sub>2<\/jats:sub>\n                      O. Significant differences were found between manometers according to the time of measurement. A similar phenomenon was evidenced when analyzing different ETTs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Significant pressure changes occur secondary to ETT cuff measurement, which has important implications for patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.10865","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T14:21:46Z","timestamp":1684851706000},"page":"1400-1405","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Behavior of Endotracheal Tube Cuff Pressure During a Routine Control Maneuver With Different Manometers"],"prefix":"10.1177","volume":"68","author":[{"given":"Ivan","family":"Gonzalez","sequence":"first","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila B","family":"Dominguez","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuel","family":"Di Salvo","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malena P","family":"Loustau","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria S","family":"Acevedo","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melisa D","family":"Celano","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan C","family":"Melero","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Facundo JF","family":"Bianchini","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Facundo J","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Mariani","sequence":"additional","affiliation":[{"name":"Non-sponsored Clinical Research Department, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gast\u00f3n","family":"Murias","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Hospital Britanico de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo A","family":"Plotnikow","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy and Respiratory Care, Rehabilitation Department, Intensive Care Unit, Hospital Britanico de Buenos Aires, Buenos Aires City, Buenos Aires, Argentina; and Universidad Abierta Interamericana, Facultad de Medicina y Ciencias de la Salud, Buenos Aires City, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02868"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-016-0250-8"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2011661"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.154.1.8680665"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05500900"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/175045891102101103"},{"issue":"6","key":"e_1_3_2_8_2","first-page":"443","article-title":"A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement","volume":"71","author":"Stewart SL","year":"2003","unstructured":"Stewart SL, , Secrest JA, , Norwood BR, , Zachary R. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. J Am Assoc Nurse Anesth, 2003; 71(6):443\u2013447.","journal-title":"J Am Assoc Nurse Anesth"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2016.10.001"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200405-644ST"},{"issue":"5","key":"e_1_3_2_11_2","first-page":"440","article-title":"Continuous control of tracheal cuff pressure for the prevention of ventilator-associated pneumonia in critically ill patients: where is the evidence?","volume":"19","author":"Rouz\u00e9 A","year":"2013","unstructured":"Rouz\u00e9 A, , Nseir S. Continuous control of tracheal cuff pressure for the prevention of ventilator-associated pneumonia in critically ill patients: where is the evidence?. Curr Opin Crit Care, 2013; 19(5):440\u2013447.","journal-title":"Curr Opin Crit Care"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12397"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13249"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04490166"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1404200612"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.20193238603"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/2052-0492-2-34"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.124148"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2012.05.007"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2015.68.1.27"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.10865","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.10865","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.10865","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T11:09:23Z","timestamp":1775473763000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.10865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,23]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.4187\/respcare.10865"],"URL":"https:\/\/doi.org\/10.4187\/respcare.10865","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5,23]]}}}