BACKGROUND: Currently there is no accepted standard of practice for the optimal frequency of endotracheal tube cuff pressure monitoring in mechanically ventilated patients. Therefore, we conducted a study to compare infrequent endotracheal tube cuff pressure monitoring (immediately after intubation and when clinically indicated for an observed air leak or due to tube migration) with frequent endotracheal tube cuff pressure monitoring (immediately after intubation, every 8 h, and when clinically indicated).
METHODS: We performed a prospective clinical trial with subjects assigned to study groups based on room assignment. The primary outcome was the occurrence of a ventilator-associated event (VAE) and was adjudicated by individuals blinded to the conduct of this study. For more information, please read http://rc.rcjournal.com/content/63/5/495.
Kyle W. Lawson, RRT, is a registered respiratory therapist who performs at an outstanding level of excellence at Mercy Hospital Ardmore in Ardmore, Oklahoma. Mercy Hospital Ardmore is a full-service tertiary hospital with 190 licensed beds, a staff of nearly 1,100 and almost 100 physicians. The hospital is southern Oklahoma’s leader in providing cancer care and their Joint Replacement Center has earned The Joint Commission’s Gold Seal of Approval® for its compliance with national quality and patient safety standards. As a respiratory therapist, Kyle is trained in pulmonary medicine in order to work therapeutically with people suffering from pulmonary disease. His professional background includes his roles as a respiratory therapist in the Emergency Room, Intensive Care Unit, and Neonatal Intensive Care Unit. For more information about Kyle W. Lawson, RRT, please visit https://www.mercy.net/practice/mercy-hospital-ardmore.