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Journals / Bağcılar Tıp Bülteni / 2022 / Cilt: 7 - Sayı: 1

The Effect of the Endotracheal Cuff and Alveolar Pressures on Laryngopharyngeal Outcomes in Laparoscopic and Open Gynecological Procedure

Laparoskopik ve Açık Jinekolojik İşlemde Endotrakeal Kaf ve Alveolar Basınçların Laringofaringeal Sonuçlara Etkisi

Güneş Özlem YILDIZ
Gökhan SERTÇAKACILAR
Pages
49–56
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Results: The patients in the LS group had statistically significantly higher cuff, PIP, and P-plateau levels at 15th, 30th, and 60th minutes after intubation and before extubation compared to those in the open surgery (OS) group (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: High intra-abdominal pressure during laparoscopic surgery (LS) may increase endotracheal tube cuff pressure in patients.
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Key Findings & Data:The cuff pressure, peak inspiratory pressure (PIP), and plateau pressure values were measured after endotracheal intubation, at 15th, 30th, and 60th minutes after intra-abdominal carbon dioxide (CO2) insufflation and before extubation.
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Conclusion & Impact:Results: The patients in the LS group had statistically significantly higher cuff, PIP, and P-plateau levels at 15th, 30th, and 60th minutes after intubation and before extubation compared to those in the open surgery (OS) group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: High intra-abdominal pressure during laparoscopic surgery (LS) may increase endotracheal tube cuff pressure in patients. This study aimed to evaluate the effect of endotracheal tube cuff pressure and alveolar pressures on laryngopharyngeal outcomes at different time points during laparoscopic and open surgeries. Method: Seventy patients who underwent open or LS were included in our study. The cuff pressure, peak inspiratory pressure (PIP), and plateau pressure values were measured after endotracheal intubation, at 15th, 30th, and 60th minutes after intra-abdominal carbon dioxide (CO2) insufflation and before extubation. In addition, all patients were evaluated for sore throat using the visual analogue scale (VAS) at 1st, 12th, and 24th hours postoperatively by an observer blinded to the study groups. Results: The patients in the LS group had statistically significantly higher cuff, PIP, and P-plateau levels at 15th, 30th, and 60th minutes after intubation and before extubation compared to those in the open surgery (OS) group (p

Özet

Amaç: Laparoskopik cerrahi (LS) sırasında yüksek karın içi basıncı hastalarda endotrakeal tüp kaf basıncını artırabilir. Bu çalışma, laparoskopik ve açık ameliyatlar sırasında farklı zaman noktalarında endotrakeal tüp kaf basıncı ve alveoler basınçların laringofaringeal sonuçlara etkisini değerlendirmeyi amaçladı. Yöntem: Çalışmamıza açık veya LS uygulanan yetmiş hasta dahil edildi. Kaf basıncı, tepe inspiratuar basınç (PIP) ve plato basınç değerleri endotrakeal entübasyondan sonra, karın içi karbonioksit (CO2) insüflasyonundan 15, 30, 60 dakika sonra ve ekstübasyondan önce ölçüldü. Ek olarak, tüm hastalar çalışma gruplarına kör bir gözlemci tarafından postoperatif 1., 12. ve 24. saatlerde görsel analog skala (VAS) kullanılarak boğaz ağrısı açısından değerlendirildi. Bulgular: LS grubundaki hastalarda entübasyondan 15, 30 ve 60 dakika sonra ve ekstübasyondan önce açık cerrahi (OS) grubuna kıyasla istatistiksel olarak anlamlı derecede yüksek kaf basıncı, PIP ve P-plato seviyeleri vardı (p

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Cite This Article

YILDIZ, G. Ö., SERTÇAKACILAR, G. (2022). The Effect of the Endotracheal Cuff and Alveolar Pressures on Laryngopharyngeal Outcomes in Laparoscopic and Open Gynecological Procedure. Bağcılar Tıp Bülteni, Cilt: 7 - Sayı: 1, 49–56. https://ajindex.com/articles/648838

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