Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/34926 |
Resumo: | Objective: To describe information on cuff pressure, used in intubated patients, as a preventive measure related to bronchoaspiration and the development of ventilator-associated pneumonia (VAP). Methodology: This is an integrative literature review, carried out in the SCOPUS® and MEDLINE® databases. The eligibility criteria used were studies published between 2010 and 2021, with full text available, such as retrospective, prospective, cohort, observational, pilot study, multicenter randomized study and systematic review. Duplicate studies and publications without the full text available were excluded from the selection process. Results: 11 studies met the eligibility criteria and were presented in a descriptive manner. It was found that the measurement of cuff pressure proved to be a safe way to manipulate the oral cavity and that continuous cuff control contributed to the prevention and reduction of complications such as bronchoaspiration and ventilator-associated pneumonia. In addition, control of cuff pressure with lumen for drainage of subglottic secretion may help prevent VAP in patients who require more than 48 hours of mechanical ventilation. Final considerations: care with cuff pressure of endotracheal tubes is of fundamental importance in reducing infections in critically ill patients, such as pneumonia associated with mechanical ventilation. In addition, monitoring cuff pressure, as a prophylactic method, becomes essential in the protocol routine of the multidisciplinary team of Intensive Care Units and can be performed by any trained member, including the dentist. |
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Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative reviewControl de la presión del manguito en la prevención de la broncoaspiración y el desarrollo de neumonía asociada al ventilador durante la manipulación de la cavidad oral: una revisión integradora Controle da pressão do cuff na prevenção de broncoaspiração e desenvolvimento de pneumonias associadas à ventilação mecânica durante a manipulação da cavidade bucal: revisão integrativa Pneumonia associada à ventilação mecânicaManuseio das vias aéreasEquipe hospitalar de odontologia. Neumonía asociada al ventiladorManejo de la vía aéreaOdontología en hospital.Airway managementPneumonia, Ventilator-associatedDental staff, Hospital personal.Objective: To describe information on cuff pressure, used in intubated patients, as a preventive measure related to bronchoaspiration and the development of ventilator-associated pneumonia (VAP). Methodology: This is an integrative literature review, carried out in the SCOPUS® and MEDLINE® databases. The eligibility criteria used were studies published between 2010 and 2021, with full text available, such as retrospective, prospective, cohort, observational, pilot study, multicenter randomized study and systematic review. Duplicate studies and publications without the full text available were excluded from the selection process. Results: 11 studies met the eligibility criteria and were presented in a descriptive manner. It was found that the measurement of cuff pressure proved to be a safe way to manipulate the oral cavity and that continuous cuff control contributed to the prevention and reduction of complications such as bronchoaspiration and ventilator-associated pneumonia. In addition, control of cuff pressure with lumen for drainage of subglottic secretion may help prevent VAP in patients who require more than 48 hours of mechanical ventilation. Final considerations: care with cuff pressure of endotracheal tubes is of fundamental importance in reducing infections in critically ill patients, such as pneumonia associated with mechanical ventilation. In addition, monitoring cuff pressure, as a prophylactic method, becomes essential in the protocol routine of the multidisciplinary team of Intensive Care Units and can be performed by any trained member, including the dentist.Objetivo: Describir información sobre la presión del manguito, utilizada en pacientes intubados, como medida preventiva relacionada con la broncoaspiración y el desarrollo de neumonía asociada al ventilador (NAV). Metodología: Se trata de una revisión integrativa de la literatura, realizada en las bases de datos SCOPUS® y MEDLINE®. Los criterios de elegibilidad utilizados fueron estudios publicados entre 2010 y 2021, con texto completo disponible, como retrospectivo, prospectivo, de cohorte, observacional, estudio piloto, estudio multicéntrico aleatorizado y revisión sistemática. Los estudios duplicados y las publicaciones sin el texto completo disponible fueron excluidos del proceso de selección. Resultados: 11 estudios cumplieron con los criterios de elegibilidad y fueron presentados de forma descriptiva. Se constató que la medición de la presión del manguito demostró ser una forma segura de manipular la cavidad oral y que el control continuo del manguito contribuyó a la prevención y reducción de complicaciones como la broncoaspiración y la neumonía asociada al ventilador. Además, el control de la presión del manguito con lumen para el drenaje de la secreción subglótica puede ayudar a prevenir la VAP en pacientes que requieren más de 48 horas de ventilación mecánica. Consideraciones finales: el cuidado con la presión del manguito de los tubos endotraqueales es de fundamental importancia en la reducción de infecciones en pacientes críticos, como la neumonía asociada a la ventilación mecánica. Además, el monitoreo de la presión del manguito, como método profiláctico, se vuelve esencial en la rutina del protocolo del equipo multidisciplinario de las Unidades de Cuidados Intensivos y puede ser realizado por cualquier miembro capacitado, incluido el odontólogo.Objetivo: Descrever informações sobre a pressão do cuff, utilizada em pacientes intubados, como medida preventiva relacionada à broncoaspiração e ao desenvolvimento de pneumonias associada à ventilação mecânica (PAV). Metodologia: Trata-se de uma revisão integrativa da literatura, realizada nas bases de dados SCOPUS® e MEDLINE®. Os critérios de elegibilidade utilizados foram estudos publicados no período de 2010 a 2021, com texto disponível na íntegra, do tipo estudo retrospectivo, prospectivo, estudo de coorte, estudo observacional, estudo piloto, estudo multicêntrico randomizado e revisão sistemática. Estudos duplicados e publicações sem o texto disponíveis na íntegra foram excluídos do processo de seleção. Resultados: 11 estudos se enquadraram nos critérios de elegibilidade e foram apresentados de modo descritivo. Foi constatada que a mensuração da pressão do cuff mostrou-se uma forma segura na manipulação da cavidade bucal e que o controle contínuo do cuff contribuiu para prevenção e redução de complicações como broncoaspiração e pneumonia associada à ventilação mecânica. Além disso, o controle da pressão do cuff com lúmen para drenagem de secreção subglótica pode ajudar a prevenir a PAV em pacientes que necessitam de mais de 48 horas de ventilação mecânica. Considerações finais: os cuidados com a pressão do balonete dos tubos endotraqueais são de fundamental importância na redução de infecções em pacientes críticos, como as pneumonias associadas à ventilação mecânica. Além disso, o monitoramento da pressão do cuff, como forma profilática, torna-se fundamental na rotina protocolar da equipe multidisciplinar de Unidades de Terapias Intensivas e pode ser realizado por qualquer membro capacitado, incluindo o cirurgião-dentista.Research, Society and Development2022-09-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3492610.33448/rsd-v11i12.34926Research, Society and Development; Vol. 11 No. 12; e5281112334926Research, Society and Development; Vol. 11 Núm. 12; e5281112334926Research, Society and Development; v. 11 n. 12; e52811123349262525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/34926/29416Copyright (c) 2022 Fernando Martins Baeder; Kauana da Silva Andrade; Paola Fernanda Leal Corazza; Keller de Martini; Ana Carolina Lyra de Albuquerque; Daniel Furtado Silva; Monique Alves Menoni; Gilberto Costa Teodósio; Rebecca Brito Ribeiro de Moraes Andrade; Andreia Medeiros Rodrigues Cardosohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBaeder, Fernando Martins Andrade, Kauana da SilvaCorazza, Paola Fernanda Leal Martini, Keller de Albuquerque, Ana Carolina Lyra de Silva, Daniel Furtado Menoni, Monique Alves Teodósio, Gilberto Costa Andrade, Rebecca Brito Ribeiro de Moraes Cardoso, Andreia Medeiros Rodrigues2022-09-26T11:56:08Zoai:ojs.pkp.sfu.ca:article/34926Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:50:01.788013Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review Control de la presión del manguito en la prevención de la broncoaspiración y el desarrollo de neumonía asociada al ventilador durante la manipulación de la cavidad oral: una revisión integradora Controle da pressão do cuff na prevenção de broncoaspiração e desenvolvimento de pneumonias associadas à ventilação mecânica durante a manipulação da cavidade bucal: revisão integrativa |
title |
Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review |
spellingShingle |
Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review Baeder, Fernando Martins Pneumonia associada à ventilação mecânica Manuseio das vias aéreas Equipe hospitalar de odontologia. Neumonía asociada al ventilador Manejo de la vía aérea Odontología en hospital. Airway management Pneumonia, Ventilator-associated Dental staff, Hospital personal. |
title_short |
Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review |
title_full |
Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review |
title_fullStr |
Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review |
title_full_unstemmed |
Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review |
title_sort |
Cuff pressure control in the prevention of bronchoaspiration and development of ventilator-associated pneumonia during oral cavity manipulation: an integrative review |
author |
Baeder, Fernando Martins |
author_facet |
Baeder, Fernando Martins Andrade, Kauana da Silva Corazza, Paola Fernanda Leal Martini, Keller de Albuquerque, Ana Carolina Lyra de Silva, Daniel Furtado Menoni, Monique Alves Teodósio, Gilberto Costa Andrade, Rebecca Brito Ribeiro de Moraes Cardoso, Andreia Medeiros Rodrigues |
author_role |
author |
author2 |
Andrade, Kauana da Silva Corazza, Paola Fernanda Leal Martini, Keller de Albuquerque, Ana Carolina Lyra de Silva, Daniel Furtado Menoni, Monique Alves Teodósio, Gilberto Costa Andrade, Rebecca Brito Ribeiro de Moraes Cardoso, Andreia Medeiros Rodrigues |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Baeder, Fernando Martins Andrade, Kauana da Silva Corazza, Paola Fernanda Leal Martini, Keller de Albuquerque, Ana Carolina Lyra de Silva, Daniel Furtado Menoni, Monique Alves Teodósio, Gilberto Costa Andrade, Rebecca Brito Ribeiro de Moraes Cardoso, Andreia Medeiros Rodrigues |
dc.subject.por.fl_str_mv |
Pneumonia associada à ventilação mecânica Manuseio das vias aéreas Equipe hospitalar de odontologia. Neumonía asociada al ventilador Manejo de la vía aérea Odontología en hospital. Airway management Pneumonia, Ventilator-associated Dental staff, Hospital personal. |
topic |
Pneumonia associada à ventilação mecânica Manuseio das vias aéreas Equipe hospitalar de odontologia. Neumonía asociada al ventilador Manejo de la vía aérea Odontología en hospital. Airway management Pneumonia, Ventilator-associated Dental staff, Hospital personal. |
description |
Objective: To describe information on cuff pressure, used in intubated patients, as a preventive measure related to bronchoaspiration and the development of ventilator-associated pneumonia (VAP). Methodology: This is an integrative literature review, carried out in the SCOPUS® and MEDLINE® databases. The eligibility criteria used were studies published between 2010 and 2021, with full text available, such as retrospective, prospective, cohort, observational, pilot study, multicenter randomized study and systematic review. Duplicate studies and publications without the full text available were excluded from the selection process. Results: 11 studies met the eligibility criteria and were presented in a descriptive manner. It was found that the measurement of cuff pressure proved to be a safe way to manipulate the oral cavity and that continuous cuff control contributed to the prevention and reduction of complications such as bronchoaspiration and ventilator-associated pneumonia. In addition, control of cuff pressure with lumen for drainage of subglottic secretion may help prevent VAP in patients who require more than 48 hours of mechanical ventilation. Final considerations: care with cuff pressure of endotracheal tubes is of fundamental importance in reducing infections in critically ill patients, such as pneumonia associated with mechanical ventilation. In addition, monitoring cuff pressure, as a prophylactic method, becomes essential in the protocol routine of the multidisciplinary team of Intensive Care Units and can be performed by any trained member, including the dentist. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-25 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34926 10.33448/rsd-v11i12.34926 |
url |
https://rsdjournal.org/index.php/rsd/article/view/34926 |
identifier_str_mv |
10.33448/rsd-v11i12.34926 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34926/29416 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 12; e5281112334926 Research, Society and Development; Vol. 11 Núm. 12; e5281112334926 Research, Society and Development; v. 11 n. 12; e5281112334926 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052772063903744 |