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Research Paper | Anaesthesiology | India | Volume 12 Issue 2, February 2023
Changes in Endotracheal Tube Cuff Pressure in Open and Laparoscopic Cholecystectomy - A Comparative Study
Dr. Syeda Farhin Nahid | Dr. Arunima Saikia | Dr. Kannauj Swargiri | Dr. Atul Chandra Baro
Abstract: Background and Aims: Various complications arise due to under or over inflation of endotracheal tube cuff pressure. This study aims to compare the changes in endotracheal tube cuff pressure and the incidences of post-operative laryngotracheal complaints in patients undergoing Open and Laparoscopic cholecystectomy. Methods: 90 patients with ASA grade I/II between the age of 18-65 years undergoing Open cholecystectomy (Group I) or Laparoscopic cholecystectomy (Group II) under general anaesthesia were included in this Hospital based Observational study. Patients were divided in two equal sized groups (n = 45). The cuff of the endotracheal tube was inflated to 20-30 mm Hg after intubation. Endotracheal tube cuff pressures via a standard cuff pressure manometer and haemodynamic parameters were recorded just after intubation, at 5, 10, 15, 20, 30, 40, 50, 60 and 70 minutes. Incidences of sore-throat, hoarseness and dysphagia were also observed post-operatively. Result: Increase in cuff pressure was significantly higher in patients undergoing laparoscopic cholecystectomy compared to those undergoing open cholecystectomy at 10, 15, 20, 30, 40, 50, 60, 70 mins (p-value<0.05). The changes in hemodynamic parameters were found to be more in laparoscopic cholecystectomy than open cholecystectomy. The incidences of sorethroat, hoarseness and dysphagia just after surgery, at 12 and 24 hours post-operatively were higher in patients undergoing Laparoscopic cholecystectomy compared to those undergoing open cholecystectomy. Conclusion: Pneumoperitoneum and change in patient?s position during laparoscopic surgeries may increase ETT cuff pressure and lead to postoperative complications. Measurement of cuff pressure should be incorporated as a routine practice intraoperatively specially in laparoscopic surgeries.
Keywords: Endotracheal tube cuff pressure, Laparoscopic cholecystectomy, post-operative complications
Edition: Volume 12 Issue 2, February 2023,
Pages: 611 - 615