Sadra Medical Journal

Evaluation of Nurses' Knowledge and Practice in Measuring and Controlling Endotracheal Cuff Pressure and Tracheostomy of Patients Admitted to Intensive Care Units

Document Type : Original Article

Authors

Roya Dokoohaki 1
Mohammad Rahgoshay 2
Ali Mohammad Keshtvarz Hesam Abadi 3
Banafsheh Tehranineshat 4
Bagher Khoram 5

1 Ph.D., Assistant Professor, Community based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

2 General Physician, Ali Asghar Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

3 Master of Biostatistics, Clinical Research Development Unit, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

4 Ph.D., Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

5 M.Sc., Instructor of Critical Care Nursing, Department of Anesthesiology, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

https://doi.org/10.30476/smsj.2022.93528.1310
Abstract
Introduction: The nurse's knowledge and skills in caring for endotracheal tube cuff pressure can lead to complications in the patient. However, few studies are available in this area. Therefore, this study aimed to determine the knowledge and practice of nurses on how to measure and control cuff pressure of patients admitted to intensive care units.
Methods: This descriptive study was performed on 151 qualified nurses working in ICU wards of Shiraz teaching hospitals in 2017. Data collection was performed using a researcher-made checklist.
Results: 21.5% of the nurses knew the normal tracheal cuff pressure and tracheostomy range. Regarding the different ways of measuring cuff pressure, 5.3% referred to the minimum leakage method, 86.7% to the manual method, 74.7% to the manometer, and no reference was made to the obstruction method. 60.7% used the manual method to measure cuff pressure, and only 39.3% used a manometer. 3.3% did not know the time interval of cuff pressure measurement. 40% in each shift, and 56.7% stated every 24 hours as the appropriate time to control it.
Conclusions: The results of the present study showed that the performance of nurses concerning the ways of measuring cuff pressure is appropriate. However, the nurses' knowledge in this study is limited about the normal range of endotracheal tube cuff pressure and the complications caused by the abnormal low cuff range.

Keywords

Humans
Cuff pressure
Intratracheal Intubation
Knowledge
Practice
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Sadra Medical Journal
Volume 9, Issue 4
October 2021
Pages 375-382

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