Journals / Marmara Medical Journal / 2021 / Cilt: 34 - Sayı: 2

Comparison of endotracheal tube cuff pressures inflated with saline or air in gynecological laparoscopic surgery

Pages
140–146
Publication Date
2021-05-31
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The intraoperative cuff pressures, postoperative sore throat, and analgesic consumption were lower in the salineinsufflated group than in the air-insufflated group in gynecological laparoscopic surgery in TP.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: We compared the air or saline insufflated endotracheal tube (ETT) cuff pressures and their effects on postoperative respiratory complications in gynecological laparoscopic surgeries in the Trendelenburg position (TP).
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Key Findings & Data:Patients and Methods: This prospective study was carried out on a total of 60 patients, whose ages ranged from 18 to 65 years and who were classified by the American Society of Anesthesiologists (ASA) as I-III.
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Conclusion & Impact:Conclusion: The intraoperative cuff pressures, postoperative sore throat, and analgesic consumption were lower in the salineinsufflated group than in the air-insufflated group in gynecological laparoscopic surgery in TP.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Laparoscopic surgery · Trendelenburg position · Sore throat

Abstract

Objective: We compared the air or saline insufflated endotracheal tube (ETT) cuff pressures and their effects on postoperative respiratory complications in gynecological laparoscopic surgeries in the Trendelenburg position (TP). Patients and Methods: This prospective study was carried out on a total of 60 patients, whose ages ranged from 18 to 65 years and who were classified by the American Society of Anesthesiologists (ASA) as I-III. They were scheduled for gynecological laparoscopic surgery in TP. Patients included in the study were randomly divided into two groups as the saline (Group S, n=30) and air (Group A, n=30) groups. ETT cuff pressures and peak airway pressures were recorded immediately after intubation and at 10-minute intervals during the intraoperative period. Results: The cuff pressure and maximum cuff pressure values in the saline group were significantly lower than in the air group in the 50-minute (p<0.05). The sore throat and analgesic consumption were significantly lower in Group S in postoperative 24 hours (p<0.001, for all). Conclusion: The intraoperative cuff pressures, postoperative sore throat, and analgesic consumption were lower in the salineinsufflated group than in the air-insufflated group in gynecological laparoscopic surgery in TP.

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Cite This Article

SAHIN, S., BESİR, A., AKDOGAN, A., TUGCUGIL, E., SAYLAN, S. (2021). Comparison of endotracheal tube cuff pressures inflated with saline or air in gynecological laparoscopic surgery. Marmara Medical Journal, Cilt: 34 - Sayı: 2, 140–146. https://ajindex.com/articles/688314

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References (5)

  1. Morgan GE, Mikhail MS, Murray MJ, editors. Clinical Anesthesiology 5th ed.International Edition: New York: Lange Medical Books, 2015:309-41. Atlas GM. A mathematical model of differential tracheal tube cuff pressure: effects of diffusion and temperature. J Clin Monit Comput 2005;19:415-25. doi: 10.1007/s10877.005.1626-5.
  2. Girling KJ, Bedforth NM, Spendlove JL, Mahajan RP. Assessing neuromuscular block at the larynx: the effect of change in resting cuff pressure and a comparison with video imaging in anesthetized humans. Anesth Analg 1999;88:426- 31. doi: 10.1097/00000.539.199902000-00038.
  3. Godoy AC, Vieira RJ, Capitani EM. Endotracheal tube cuff pressure alteration after changes in position in patients under mechanical ventilation. J Bras Pneumol 2008;34:294-97. doi: 10.1590/s1806.371.3200800.050.0008. Hameed AA, Mohamed H, Al-Mansoori M. Acquired tracheoesophageal fistula due to high intracuff pressure. Ann Thorac Med 2008;3:23-5. doi: 10.4103/1817-1737.37950. Harris R, Joseph A. Acute tracheal rupture related to endotracheal intubation: case report. J Emerg Med 2000;18:35- 9. doi: 10.1016/s0736-4679(99)00159-6.
  4. Pookamala S, Thakar A, Puri K, Singh P, Kumar R, Sharma SC. Acquired subglottic stenosis: aetiological profile and treatment results. J Laryngol Otol 2014;128:641-8. doi: 10.1017/S002.221.5114000966. Touat L, Fournier C, Ramon P, Salleron J, Durocher A, Nseir S. Intubation-related tracheal ischemic lesions: incidence, risk factors, and outcome. Intensive Care Med 2013;39:575-82. doi: 10.1007/s00134.012.2750-6.
  5. Rosero EB, Ozayar E, Eslava-Schmalbach J, Minhajuddin A, Joshi GP. Effects of increasing airway pressures on the pressure of the endotracheal tube cuff during pelvic laparoscopic surgery. Anesth Analg 2018;127:120-5. doi: 10.1213/ ANE.000.000.0000002657. American Thoracic Society, Infectious Diseases Society of America. Guidelines for the management of adults with hospital – acquired, ventilator-associated, and healthcareassociated pneumonia. Am J Respir Crit Care Med 2005;171:388-416. doi: 10.1164/rccm.200405-644ST. Bernhard WN, Yost L, Joynes D, Cothalis S, Turndorf H. Intracuff pressures in endotracheal and tracheostomy tubes. Related cuff physical characteristics. Chest 1985;87:720-5. doi: 10.1378/chest.87.6.720. Diaz E, Rodríguez AH, Rello J. Ventilator-associated pneumonia: issues related to the artificial airway. Respir Care 2005;50:900-6. Nordin U. The trachea and cuff-induced tracheal injury. An experimental study on causative factors