Use of AG Cuffill Syringe for Monitoring of Changes in ETT Cuff Pressure in Prone Position Under GA: (Cross Sectional Study)

Dr. Jinal Solanki, Dr. Jyotsna Maliwad, Dr. Kashmira Pander, Dr. Afroza Syed, Dr. Vidhibrahm Bhatt, Dr. Pravin Rathod

Abstract: Background and Aims: We conducted a study of monitoring endotracheal cuff pressure during general anaesthesia in elective spine surgery in prone position with AG Cuffill Syringe. Methods: A cross section study carried out at Medical College, Vadodara, 126 ASA I&II patient, 18-60yrs age group, undergoing elective spine surgery, more than 4hrs in prone position in general anaesthesia. Results: Paired t-test was used for measurement of cuff pressure changes. P< 0.05 is considered statistically significant. A significant decline in the cuff pressures were noted from the initial supine position after intubation (P < 0.001) in the supine group. Also, a significant decline in the cuff pressures were found in the prone before supine position to all the other three corresponding time points i.e., after final positioning (P < .001), at the end of the procedure (P < 0.01) and before extubation (P <0 .001). There was no any significant difference in hemodynamic parameters after position changes from supine to prone. Conclusion: Endotracheal cuff pressure changes occurs during change of position from supine to prone. So, monitoring of cuff pressure is must in different position to avoid complication.

Keywords: Endotracheal tube cuff pressure, Prone position, Cuff pressure monitoring, Postoperative complication