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

Yıl 2021, , 140 - 146, 31.05.2021

Selin Sahın Ahmet Besir Ali Akdogan Ersagun Tugcugıl Sedat Saylan

https://doi.org/10.5472/marumj.942649

Öz

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.

Anahtar Kelimeler

Laparoscopic surgery, Trendelenburg position, Sore throat, Cuff pressure.

Kaynakça

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