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Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2018 / Cilt: 52 - Sayı: 4

The Evaluation of Upper Airway Complications Secondary to Intubation: Cuff Pressure Manometer Versus Conventional Palpation Method

Özlem ÜNSAL
Nurullah SEYHUN
Bilge TÜRK
Merve EKİCİ
Hale DOBRUCALI
Suat TURGUT
Pages
289–295
DOI
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⚡ TL;DR(Too Long; Didn't Read)

At 4 and 8 h, cough was found to be related to the duration of intubation.Conclusion: Arrangement of cuff pressure using a cuff manometer is suggested to decrease complications of the upper airwaysecondary to intubation because of the higher rate of these complaints in patients whose cuff pressure is arranged by the conventionalpalpation method.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: General anesthesia is preferred in most otorhinolaryngologic surgeries.
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Key Findings & Data:The aim of the present study was to evaluateupper airway complications secondary to intubation including sore throat, cough, dysphonia, and dysphagia considering endotrachealtube (ET) cuff pressure, tube diameter, and duration of intubation.Methods: After the assignment of 67 patients to the study and control groups, ET cuff pressure was adjusted to be between 20and 30 cm H2O using a cuff pressure manometer in the study group.
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Conclusion & Impact:At 4 and 8 h, cough was found to be related to the duration of intubation.Conclusion: Arrangement of cuff pressure using a cuff manometer is suggested to decrease complications of the upper airwaysecondary to intubation because of the higher rate of these complaints in patients whose cuff pressure is arranged by the conventionalpalpation method.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objectives: General anesthesia is preferred in most otorhinolaryngologic surgeries. The aim of the present study was to evaluateupper airway complications secondary to intubation including sore throat, cough, dysphonia, and dysphagia considering endotrachealtube (ET) cuff pressure, tube diameter, and duration of intubation.Methods: After the assignment of 67 patients to the study and control groups, ET cuff pressure was adjusted to be between 20and 30 cm H2O using a cuff pressure manometer in the study group. In the control group, the cuff pressure was decided by the anesthesiologistusing the conventional palpation method. Sore throat, cough, dysphonia, and dysphagia were compared betweenthe groups at 4, 8, and 24 h postoperatively.Results: Cuff pressure was significantly higher in the control group than in the study group. In the control group, sore throat wasmore frequently observed at 4, 8, and 24 h, whereas in the study group, cough and dysphonia were more often observed at 4 and8 h. At 4 and 8 h, cough was found to be related to the duration of intubation.Conclusion: Arrangement of cuff pressure using a cuff manometer is suggested to decrease complications of the upper airwaysecondary to intubation because of the higher rate of these complaints in patients whose cuff pressure is arranged by the conventionalpalpation method.

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Cite This Article

ÜNSAL, Ö., SEYHUN, N., TÜRK, B., EKİCİ, M., DOBRUCALI, H., TURGUT, S. (2018). The Evaluation of Upper Airway Complications Secondary to Intubation: Cuff Pressure Manometer Versus Conventional Palpation Method. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 52 - Sayı: 4, 289–295. https://ajindex.com/articles/399617

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References (15)

  1. Liu J, Zhang X, Gong W, Li S, Wang F, Fu S, et al. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study. Anesth Analg 2010;111:1133–7
  2. Fan CM, Ko PC, Tsai KC, Chiang WC, Chang YC, Chen WJ, et al. Tracheal rupture complicating emergent endotracheal intubation. Am J Emerg Med 2004;22:289–93
  3. Deslée G, Brichet A, Lebuffe G, Copin MC, Ramon P, Marquette CH. Obstructive fibrinous tracheal pseudomembrane. A potentially fatalcomplication of tracheal intubation. Am J Respir Crit Care Med 2000;162:1169–71
  4. Harris R, Joseph A. Acute tracheal rupture related to endotracheal intubation: case report. J Emerg Med 2000;18:35–9
  5. Hofmann HS, Rettig G, Radke J, Neef H, Silber RE. Iatrogenic ruptures of the tracheobronchial tree. Eur J Cardiothorac Surg. 2002;21:649–52
  6. Braz JR, Volney A, Navarro LH, Braz LG, Nakamura G. Does sealing endotracheal tube cuff pressure diminish the frequency of postoperative laryngotracheal complaints after nitrous oxide anesthesia? J Clin Anesth 2004;16:320–5
  7. Curiel García JA, Guerrero-Romero F, Rodríguez-Morán M. Cuff pressure in endotracheal intubation: should it be routinelymeasured? [Article in Spanish]. Gac Med Mex. 2001;137:179–82
  8. Sole ML, Penoyer DA, Su X, Jimenez E, Kalita SJ, Poalillo E, et al. Assessment of endotracheal cuff pressure by continuous monitoring: a pilot study. Am J Crit Care 2009;18:133–43
  9. Svenson JE, Lindsay MB, O'Connor JE. Endotracheal intracuff pressures in the ED and prehospital setting: is there a problem? Am J Emerg Med 2007;25:53–6
  10. Nordin U. The trachea and cuff-induced tracheal injury. An experimental study on causative factors and prevention. Acta Otolaryngol Suppl 1977;345:1–71
  11. Loeser EA, Orr DL 2nd, Bennett GM, Stanley TH. Endotracheal tube cuff design and postoperative sore throat. Anesthesiology 1976;45:684–7
  12. Loeser EA, Machin R, Colley J, Orr D 2nd, Bennett GM, Stanley TH. Postoperative sore throat--importance of endotracheal tubeconformity versus cuff design. Anesthesiology 1978;49:430–2
  13. Stout DM, Bishop MJ, Dwersteg JF, Cullen BF. Correlation of endotracheal tube size with sore throat and hoarseness following general anesthesia. Anesthesiology 1987;67:419–21
  14. Mazzone SB. An overview of the sensory receptors regulating cough. Cough 2005;1:2
  15. Wetzel LE, Ancona AL, Cooper AS, Kortman AJ, Loniewski GB, Lebeck LL. The effectiveness of 4% intracuff lidocaine in reducing coughing during eme