Accidental Rupture of Balloon Tube during Endotracheal Intubation in Mechanical Ventilation: Clinical Application of No. 8 Blood Collection Needles for Connection_West China Medical Journal

Authors：

 ZhangLi , LuoJianjiang , ZhaiYujiang ,  GaoZhen

Department of Respiratory Medicine, the Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, P. R. China;

Corresponding?author：

GaoZhen, Email: gaozhening@gmail.com

Keywords：

Endotracheal intubation; Balloon tube; Disposable blood collection needle

DOI：

10.7507/1002-0179.201600475

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical effect of No. 8 blood collection needles in connecting broken balloon tubes. Methods Thirty-six patients who underwent mechanical ventilation in the Intensive Care Unit between January 2010 and December 2013 were included as the study subjects. We divided them into two groups. Patients who had accidental rupture of balloon tube during intubation were regarded as the trial group, while those with normal ventilation were regarded as the control group, with each group having 18 patients. The trial group used No. 8 disposable blood collection needles to connect the balloon tubes. Pressure gauge produced in Germany was used to measure the balloon pressure continuously for four hours. Balloon pressure level, balloon leakage and tube dislocation within 24 hours were observed. Results The balloon pressure at different time periods was not significantly different between the two groups (P > 0.05). The leakage rate and complication rate were also not significantly different between the two groups (P > 0.05). Conclusions Using No. 8 blood collection needles for connecting broken balloon tubes is effective, easy, and convenient, and the balloon can be maintained at a constant pressure. It solved many previous clinical problems such as high cost, high complication rate, high death rate and medical disputes.

Citation： ZhangLi, LuoJianjiang, ZhaiYujiang, GaoZhen. Accidental Rupture of Balloon Tube during Endotracheal Intubation in Mechanical Ventilation: Clinical Application of No. 8 Blood Collection Needles for Connection. West China Medical Journal, 2016, 31(10): 1726-1729. doi: 10.7507/1002-0179.201600475 Copy

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6.	李紀萍. 35例氣管內插管的護理體會[J].全科護理, 2010, 8(26): 2401-2402.
7.	張繼松, 王海波, 鄒翼霜.人工氣道氣囊意外漏氣后的補救裝置[J].中國現代醫生, 2011, 49(5): 60, 69.
8.	Diaz E, Rodriguez AH, Rello J. Ventilator-associated pneumonia: issuesr elated to the artificial airway[J]. Respir Care, 2005, 50(7): 900-909.
9.	Rello J, So?ora R, Jubert P, et al. Pneumonia in intubated patients: role of respiratory airway care[J]. Am J Respir Crit Care Med, 1996, 154(1): 111-115.
10.	劉慶芝.有創機械通氣患者氣囊漏氣的急救護理[J].基層醫學論壇, 2013, 17(12): 1499-1500.
11.	王麗春.人工氣道的護理進展[J].當代護士:學術版, 2007, 2(2): 8-9.
12.	Sole ML, Su X, Talbert S, et al. Evaluation of an intervention to maintain endotracheal tube cuff pressure within therapeutic range[J]. Am J Crit Care, 2011, 20(2): 109-118.
13.	Sridermma S, Limtangturakool S, Wongsurakiat P, et al. Development of appropriate proceduresf or inflation of endo-tracheal tube cuff in intubated patients[J]. J Med Assoc Thai, 2007, 90(Suppl 2): 74-78.
14.	Valencia M, Ferrer M, Farre R, et al. Automatic control of tracheal tube cuff pressure in ventilated patients in semirecumbent position: a randomized trial[J]. Crit Care Med, 2007, 35(6): 1543-1549.
15.	范河谷, 關月嫦, 許智紅. ICU老年病人夜間非計劃性拔管原因分析與對策[J].南方護理學報, 2002, 9(6): 34-36.

1. 馮黔靈. ICU經口氣管插管發生氣囊漏氣10例分析[J].航空航天醫學雜志, 2012, 23(10): 1215-1216.
2. 閆萍, 劉志平.一例患者曾多次咬斷氣囊管患者的護理[J].中華現代護理雜志, 2009, 15(35): 3803.
3. 權明桃, 江智霞, 袁曉麗, 等.人工氣道氣囊護理研究進展[J].護士進修雜志, 2008, 23(4): 308-310.
4. 鄭春燕. ICU護理風險事件與對策[J].護理學報, 2006, 13(5): 91-92.
5. 沈犁.氣管插管患者非計劃性拔管的研究進展[J].中華護理雜志, 2006, 41(1): 68-71.
6. 李紀萍. 35例氣管內插管的護理體會[J].全科護理, 2010, 8(26): 2401-2402.
7. 張繼松, 王海波, 鄒翼霜.人工氣道氣囊意外漏氣后的補救裝置[J].中國現代醫生, 2011, 49(5): 60, 69.
8. Diaz E, Rodriguez AH, Rello J. Ventilator-associated pneumonia: issuesr elated to the artificial airway[J]. Respir Care, 2005, 50(7): 900-909.
9. Rello J, So?ora R, Jubert P, et al. Pneumonia in intubated patients: role of respiratory airway care[J]. Am J Respir Crit Care Med, 1996, 154(1): 111-115.
10. 劉慶芝.有創機械通氣患者氣囊漏氣的急救護理[J].基層醫學論壇, 2013, 17(12): 1499-1500.
11. 王麗春.人工氣道的護理進展[J].當代護士:學術版, 2007, 2(2): 8-9.
12. Sole ML, Su X, Talbert S, et al. Evaluation of an intervention to maintain endotracheal tube cuff pressure within therapeutic range[J]. Am J Crit Care, 2011, 20(2): 109-118.
13. Sridermma S, Limtangturakool S, Wongsurakiat P, et al. Development of appropriate proceduresf or inflation of endo-tracheal tube cuff in intubated patients[J]. J Med Assoc Thai, 2007, 90(Suppl 2): 74-78.
14. Valencia M, Ferrer M, Farre R, et al. Automatic control of tracheal tube cuff pressure in ventilated patients in semirecumbent position: a randomized trial[J]. Crit Care Med, 2007, 35(6): 1543-1549.
15. 范河谷, 關月嫦, 許智紅. ICU老年病人夜間非計劃性拔管原因分析與對策[J].南方護理學報, 2002, 9(6): 34-36.

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Accidental Rupture of Balloon Tube during Endotracheal Intubation in Mechanical Ventilation: Clinical Application of No. 8 Blood Collection Needles for Connection

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