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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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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7.	张继松, 王海波, 邹翼霜.人工气道气囊意外漏气后的补救装置[J].中国现代医生, 2011, 49(5): 60, 69.
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9.	Rello J, Soñora 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.	刘庆芝.有创机械通气患者气囊漏气的急救护理[J].基层医学论坛, 2013, 17(12): 1499-1500.
11.	王丽春.人工气道的护理进展[J].当代护士:学术版, 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, 关月嫦, 许智红. ICU老年病人夜间非计划性拔管原因分析与对策[J].南方护理学报, 2002, 9(6): 34-36.

1. 冯黔灵. ICU经口气管插管发生气囊漏气10例分析[J].航空航天医学杂志, 2012, 23(10): 1215-1216.
2. 闫萍, 刘志平.一例患者曾多次咬断气囊管患者的护理[J].中华现代护理杂志, 2009, 15(35): 3803.
3. 权明桃, 江智霞, 袁晓丽, 等.人工气道气囊护理研究进展[J].护士进修杂志, 2008, 23(4): 308-310.
4. 郑春燕. ICU护理风险事件与对策[J].护理学报, 2006, 13(5): 91-92.
5. 沈犁.气管插管患者非计划性拔管的研究进展[J].中华护理杂志, 2006, 41(1): 68-71.
6. 李纪萍. 35例气管内插管的护理体会[J].全科护理, 2010, 8(26): 2401-2402.
7. 张继松, 王海波, 邹翼霜.人工气道气囊意外漏气后的补救装置[J].中国现代医生, 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, Soñora 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. 刘庆芝.有创机械通气患者气囊漏气的急救护理[J].基层医学论坛, 2013, 17(12): 1499-1500.
11. 王丽春.人工气道的护理进展[J].当代护士:学术版, 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, 关月嫦, 许智红. ICU老年病人夜间非计划性拔管原因分析与对策[J].南方护理学报, 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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