Posted September 6, 20195 yr In our unit we are not cutting the tube but we did not do any study to check which is better to cut it or to leave it . Please respond to the poll and share your practise.
September 8, 20195 yr Found this discussion on Researchgate! Did not know they also had a forum there. Lots of good comments. I was taught during my training that reducing dead space is the reason for vittring tubes. But as pointed out, the volume of the cut tub piece is so small that it would have no practical significance, even for an ELBW infant. But I still do it, it is in my ”auto-pilot”... https://www.researchgate.net/post/Will_it_be_better_to_cut_the_ET_tube_a_few_centimeters_after_tube_is_in_place_and_then_place_the_connector
September 8, 20195 yr I´ve learned to cut in order to "optimize" VTV-mode so that the ventilator can read correctly and adjust to the Vt I want. I´m not sure though if it really matters... https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.20954
September 8, 20195 yr Very interesting issue ...I have point of view would like to share with you..if the cause is decreasing dead space and ensure that the setting of ventilation and oxgyenation achieved in baby more efficiently we can monitor the screen of mean values in mechanical ventilation device whatever the type ...observing the actual pip ..TV .. reaching infant lung and if less than setting value we can increase safely because we know how much exactly achieved in infants lung ... Best regards for all
September 9, 20195 yr Another interesting post. Does the risk of minimising dead space and tube occlusion by kinking (if and when left unsupported) significantly outweigh risks of unplanned extubation, breach product warranty and its consequences?Sent from my iPad using Tapatalk
September 9, 20195 yr We used to cut the tube several years ago. We stopped cutting because we saw minimal or no effect. Besides that, we had problems with fixation, especially when the tube had to be repositioned
September 17, 20195 yr Currently we never cut the ETT, as per the new ventilator technology will enable us to read all necessary parameters required to monitor our ventilation settings and the baby adaptation to MV.
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