Logo-jcs
J Caring Sci. 2022;11(1): 15-20.
doi: 10.34172/jcs.2022.03
PMID: 35603085
PMCID: PMC9012898
  Abstract View: 754
  PDF Download: 499
  Full Text View: 83

Original Article

The Effect of Different Body Positions on Endotracheal Tube Cuff Pressure in Patients under Mechanical Ventilation

Amir Jalali 1 ORCID logo, Zohreh Maleki 2 ORCID logo, Mohammadreza Dinmohammadi 2* ORCID logo

1 Department of Psychiatric Nursing, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran
2 Department of Critical Care Nursing, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran
*Corresponding Author: *Corresponding Author: Mohammadreza Dinmohammadi, Email: , Email: dinmohammadi.mr@ iums.ac.ir

Abstract

Introduction: Maintaining endotracheal tube intracuff pressure (ETTICP) within an optimal range is crucial for effective ventilation and prevention of aspiration. This study aimed to determine the effect of changing body position on ETTICP in patients under mechanical ventilation.

Methods: In the current single-group study, each patient was taken as his/her own control. Thirty patients who met the inclusion criteria were selected as the study sample. First, the patients were placed in a supine (flat) position, head of the bed was raised to 30 degrees, and ETTICP was set at 25 cmH2 O as the baseline. Then, the ETTICP changes in the three positions (left lateral, right lateral, and semi-fowler) were compared with the baseline. Interventions were made on a random basis among the patients. Data were analyzed by repeated-measures ANOVA using SPSS version 13.

Results: There was a significant difference among ETTICP means in three different body positions, so that ETTICP was higher in the left lateral position compared to other positions. Moreover, there was a significant difference among ETTICP means 0, 15, 45, and 90 minutes after changing the body position. ETTICP means after 0 and 15 minutes were significantly higher than other times compared to the baseline.

Conclusion: ETTICP changes were affected by different body positions and the passage of time. Thus, regular monitoring and adjusting of ETTICP after any body positioning is essential, especially immediately and 15 minutes after repositioning.




First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 755

Your browser does not support the canvas element.


PDF Download: 499

Your browser does not support the canvas element.


Full Text View: 83

Your browser does not support the canvas element.

Submitted: 15 Sep 2020
Revision: 15 Apr 2021
Accepted: 15 Apr 2021
ePublished: 14 Nov 2021
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)