The Effect of Different Patient Positions on Endotracheal Tube Cuff Pressure
NCT06321835 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 200
Last updated 2024-03-20
Summary
Background: The placement of a cuffed endotracheal tube for the administration of general anesthesia is a routine procedure. In the part of the intubation tube located in the trachea, there is a balloon (cuff) to prevent gase leakage, aspiration of secretions and gastric contents into the lungs. Inadequate inflation of cuff may lead to inadequate ventilation, aspiration and associated complications, while excessive inflation may cause complications in ranging from postoperative pharyngeal complaints to tracheal rupture due to increased cuff pressure. This study aimed to determine the effect of different patient positions on the endotracheal cuff pressure in patients undergoing urological procedures.
Methods: This is a prospective study conducted on 200 patients undergoing urological procedures in supine, prone, lateral flank and litotomy positions. After intubation (T0), the cuff pressure was checked with a cuff manometer and adjusted at 25 cmH2O as the baseline and continuously monitored. The cuff pressure was checked again before (T1) and after achieving the final position (T2) and then at 5 (T3), 10 (T4), 15 (T5), 30, 45, 60, 90, 120, 150, 180 minutes after the position, at the end of the procedure (T6) and before extubation (T7). At postoperative 2nd and 12th hours, the patients were interviewed for sore throat, hoarseness and cough.
Conditions
- Endotracheal Tube Cuff Pressure
- Patient Positions
Interventions
- PROCEDURE
-
Endotracheal tube cuff pressure measurement
This is a prospective study conducted on 200 patients undergoing urological procedures in supine, prone, lateral flank and litotomy positions. After intubation (T0), the cuff pressure was checked with a cuff manometer and adjusted at 25 cmH2O as the baseline and continuously monitored. The cuff pressure was checked again before (T1) and after achieving the final position (T2) and then at 5 (T3), 10 (T4), 15 (T5), 30, 45, 60, 90, 120, 150, 180 minutes after the position, at the end of the procedure (T6) and before extubation (T7). At postoperative 2nd and 12th hours, the patients were interviewed for sore throat, hoarseness and cough.
Sponsors & Collaborators
-
Ege University
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-12-09
- Primary Completion
- 2018-01-15
- Completion
- 2018-06-15
More Related Trials
-
Investigation of Endotracheal Cuff Pressure Changes According to Different Positions in Neurosurgery Cases
NCT05712135 ·Status: UNKNOWN
-
Comparison of Different Methods for Determining Endotracheal Cuff Pressure
NCT06107998 ·Status: COMPLETED ·Phase: NA
-
Changes in Intracuff Pressure of a Cuffed Endotracheal Tube During Prolonged Surgical Procedures.
NCT01738321 ·Status: COMPLETED
-
Effect of Cuff Pressure During Operation on Postoperative Sore Throat
NCT04247360 ·Status: UNKNOWN ·Phase: NA
-
Effect of Neck Hyperextension on Endotracheal Tube Cuff Pressure in Children
NCT06767696 ·Status: RECRUITING
-
Endotracheal Tube Cuff Inflation Pressure Varieties and Response to Education Among Anesthetists
NCT05034666 ·Status: COMPLETED ·Phase: NA
-
Comparison of Ultrasonographic and Anthropometric Measurements in Difficult Airway Evaluation
NCT04140981 ·Status: COMPLETED
-
Comparison of PEEP Effect on Perioperative Oxygenation and Postoperative Pulmonary Complications in Lithotomy Position
NCT05261295 ·Status: UNKNOWN
-
Verification of Endotracheal Tube Placement With Ultrasonography (USG)
NCT03081221 ·Status: COMPLETED
-
Is Effective Preoxygenation in Elderly Patients Related to Position?
NCT05659758 ·Status: COMPLETED ·Phase: NA
-
Assessment Of Difficult Airway Predictors: A Prospective Comparison Of Upper Airway Ultrasound And Conventional Anthropometric Measures
NCT07309978 ·Status: RECRUITING
-
The Effect of Trendelenburg Position on the Ultrasonographic Airway Measurements
NCT05224895 ·Status: UNKNOWN
-
Comparing Endotracheal Tube Cuff Pressure in Laparoscopic Abdominal Surgery: Saline vs. Air Inflation
NCT06089187 ·Status: COMPLETED ·Phase: NA
-
Factors Affecting Endotracheal Cuff Pressure in Gynecological Cases
NCT04466995 ·Status: COMPLETED ·Phase: NA
-
Determining Optimal Cuff Volume in Pediatric Patients
NCT04948359 ·Status: COMPLETED
-
Intubation Tube Applications on Voice Performance in Early Postoperative Period
NCT04011111 ·Status: COMPLETED
-
Effect of Cuff Pressure Assessment Methods on Postoperative Complications in Breast Surgery
NCT07341646 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Ultrasound-Based Airway Assessment for Predicting Difficult Intubation in Adult Female Patients
NCT07343557 ·Status: COMPLETED
-
Effectiveness of Ultrasonography and The Cole Formula on the Evaluation of the Appropriate Endotracheal Tube Size
NCT03280498 ·Status: COMPLETED ·Phase: NA
-
Effect of Different Positioning Before, During and After Surgery on Pressure Injury
NCT05549830 ·Status: UNKNOWN ·Phase: NA
-
Effect of Different Peep Values on Gastric Residual Volume
NCT06371378 ·Status: COMPLETED ·Phase: NA
-
Microaspiration and Endotracheal Tubes
NCT07017205 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Investigation of the Effects of Pressure Support Ventilation and Positive Airway Pressure Modes During Extubation
NCT06356649 ·Status: COMPLETED
-
Examining the Effects of Anthropometric Measurements on Difficult Airway Prediction
NCT07077317 ·Status: COMPLETED
-
Ultrasonography in Predicting Difficult Intubation in Obese Emergency Surgical Patients
NCT05109221 ·Status: UNKNOWN