• Med Klin Intensivmed Notfmed · Nov 2016

    [Preclinical duty of care during cuff pressure management].

    • R Schalk.
    • Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland. richard.schalk@kgu.de.
    • Med Klin Intensivmed Notfmed. 2016 Nov 1; 111 (8): 737-742.

    BackgroundAirway morbidity is influenced by different factors. Independent of the main emergency health problem, airway morbidity factors may exacerbate a possible poor outcome (e.g., bleeding, tongue swelling, nerve lesion).ObjectivesHowever, insertion technique and cuff pressure management are both important for duty of care out-of-hospital emergency medicine. After securing the airway (e.g., tracheal tube or supraglottic airway device cuff), pressure measurement is necessary.Materials And MethodsIn a number of recent publications, a largely forgotten issue has come into the focus of preclinical science. This issue became particularly relevant in the admitting hospital.ResultsThe results from the aforementioned publications show that preclinical management of cuff pressure is not taken sufficiently into consideration, resulting in possible harm to the patient.DiscussionIt is important and safe to use a cuff pressure device. The initial cuff pressure and if necessary corrected value should be documented.

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