Impact of Endotracheal Tube Cuff Pressure on Postoperative Sore Throat: A Systematic Review and Meta-Analysis

2016 ◽  
Vol 3 (4) ◽  
pp. 171-176 ◽  
Author(s):  
Bao-Ji Hu ◽  
Jian Xu ◽  
Xiao-Hong Zhao ◽  
Nan-Nan Zhang ◽  
Meng-Zhi Pan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Cuff Pressure ◽  
Meta Analysis ◽  
Endotracheal Tube Cuff ◽  
Postoperative Sore Throat ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure

scholarly journals Evaluation of Endotracheal Tube Cuff Pressure in Laparoscopic Cholecystectomy and Postoperative Sore Throat

2018 ◽  
Vol 15 (3) ◽  
pp. 282-285 ◽  
Author(s):  
Gajal Lakhe ◽  
Surendra Mohan Sharma
Keyword(s):  
Nitrous Oxide ◽  
Laparoscopic Cholecystectomy ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Cuff Pressure ◽  
Study Group ◽  
Endotracheal Tube Cuff ◽  
Postoperative Sore Throat ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure

Background: The use of nitrous oxide and carboperitoneum in laparoscopic cholecystectomy lead to increase in endotracheal tube cuff pressure. It may impair tracheal mucosal perfusion with subsequent tracheal damage. The purpose of this study was to evaluate cuff pressure and incidence of post-operative sore throat in patients undergoing laparoscopic cholecystectomy.Methods: In this prospective observational study, 128 patients aged 18-65 years of American Society of Anesthesiologist physical status I and II undergoing laparoscopic cholecystectomy were enrolled and allocated alternately into two groups, Study Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/nitrous oxide mixture; 40/60), Control Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/air mixture; 40/60) were analysed and comapared. Each group contained 64 patients. Aneroid manometer was used to monitor cuff pressure. Volume of air used to inflate the cuff, baseline cuff pressure, comparison of intraoperative cuff pressure and incidence of postoperative sore throat were measured.Results: The study results demonstrated higher cuff pressure in study group at all times after the creation of carboperitoneum (p=0.00) with increased incidence of sore throat(p=0.004).Conclusions: Increase in endotracheal tube cuff pressure was noted with the use of nitrous oxide in laparoscopic cholecystectomy with subsequent post-operative airway complication. Monitoring of cuff pressure is simple, noninvasive and efficient way of achieving therapeutic cuff pressure of 20-30 cm of H2O and thus recommends its use. 

scholarly journals Post-operative Sore Throat: Comparing the Monitored Endotracheal Tube Cuff Pressure and Pilot Balloon Palpation Methods

2019 ◽  
Vol 26 (5) ◽  
pp. 132-138
Author(s):  
Nagappan Ganason ◽  
◽  
Vanitha Sivanaser ◽  
Chian Yong Liu ◽  
Muhammad Maaya ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Sore Throat ◽  
Cuff Pressure ◽  
Endotracheal Tube Cuff ◽  
Tube Cuff ◽  
Pilot Balloon ◽  
Endotracheal Tube Cuff Pressure

Lidocaine as Endotracheal Tube Cuff Inflating Agent

1970 ◽  
Vol 5 (1) ◽  
pp. 25-28
Author(s):  
Nadeem Parvez Ali ◽  
Md Tauhid-ul-Mulck ◽  
Mahbub Noor ◽  
Md Torab Mollick ◽  
Masud Ahmed ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Sore Throat ◽  
Distilled Water ◽  
Endotracheal Tube Cuff ◽  
Postoperative Sore Throat ◽  
Lidocaine Group ◽  
Entire Study ◽  
Tube Cuff ◽  
Water Group ◽  
A Prospective Study

A prospective study was carried on 120 patients undergoing surgical operations lasting less than 90 minutes. The incidence of postoperative sore throat, dysphasia and hoarseness of voice with 2% lidocaine (Group L) as endotracheal cuff inflating agent was compared with that with distilled water (Group D) and air (Group A). Seventy two percent of lidocaine group in comparison to 60% distilled water group and 37% air group experienced none of the above complications during the entire study period. Only 5% in lidocaine group had sore throat after 22-24 hours compared to 20% in the distilled water group and 45% in the air group. Twenty three percent complained of dysphasia in both lidocaine and distilled water group after 1-3 hours compared to 45% in air group. After 22-24 hours it completely resolved in lidocaine group compared to 20% persisting in the other two groups. Twenty three percent complained of hoarseness in lidocaine group as compared to 35% and 55% in distilled water and air groups respectively after 1-3 hours. This completely resolved in lidocaine group but persisted in 20% and 45% in the distilled water and air group respectively after 22-24 hours. The results showed an advantage in using lidocaine as an endotracheal tube cuff inflating agent in reducing postoperative sore throat, dysphasia and hoarseness in comparison to distilled water and air. Key Words: Lidocain, Endotracheal tube (ETT) cuff inflating agent.   doi: 10.3329/jafmc.v5i1.2847 JAFMC Bangladesh. Vol 5, No 1 (June) 2009 pp.25-28

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