Changes in cuff pressure and position of cylindrical-cuff and tapered-cuff tracheal tubes during laparoscopic abdominal surgery

Hye Won Shin, Dong Hwan Kim, Hae Seun Yoo, Dong Kyu Lee, Young Dong Yoo, Choon Hak Lim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives To evaluate changes in cuff pressure and position of tapered-cuff and cylindrical-cuff tracheal tubes (TTs) during laparoscopic cholecystectomy; to compare the frequency of endobronchial intubation and airway complaints with the two types of TT. Methods Patients were randomly assigned to intubation with a TT with a cylindrical cuff (group C) or a tapered cuff (group T). Anaesthesia was maintained with sevoflurane, O2 and N2O after intubation. TT cuffs were inflated to 20 cm H2O; changes in cuff pressure and volume were measured up to 30 min after the start of N2O use. Distance between the TT tip and the carina was measured before and after pneumoperitoneum and position change. Frequency of sore throat, dysphagia and hoarseness in the two groups was recorded. Results Cuff volume and pressure were significantly lower in group T than in group C (n = 32 per group). Cuff pressure and volume significantly increased 30 min after start of N2O use in both groups. Distance from the TT tip to the carina decreased during surgery in both groups. There were no cases of endobronchial intubation, and there were no between-group differences in the frequency of airway complaints. Conclusions The tapered cuff was associated with a smaller change in cuff pressure during laparoscopic cholecystectomy than the cylindrical cuff, and therefore may be associated with increased preservation of tracheal mucosal perfusion.

Original languageEnglish
Pages (from-to)544-554
Number of pages11
JournalJournal of International Medical Research
Volume43
Issue number4
DOIs
Publication statusPublished - 2015 Jan 1

Fingerprint

Laparoscopy
Surgery
Intubation
Pressure
Laparoscopic Cholecystectomy
Hoarseness
Pneumoperitoneum
Pharyngitis
Deglutition Disorders
Anesthesia
Perfusion

Keywords

  • Airway complications
  • laparoscopic surgery
  • tracheal cuff
  • tracheal tube

ASJC Scopus subject areas

  • Biochemistry
  • Cell Biology
  • Biochemistry, medical

Cite this

Changes in cuff pressure and position of cylindrical-cuff and tapered-cuff tracheal tubes during laparoscopic abdominal surgery. / Shin, Hye Won; Kim, Dong Hwan; Yoo, Hae Seun; Lee, Dong Kyu; Yoo, Young Dong; Lim, Choon Hak.

In: Journal of International Medical Research, Vol. 43, No. 4, 01.01.2015, p. 544-554.

Research output: Contribution to journalArticle

@article{8e531f038d1d4b9d96a8400e118c8465,
title = "Changes in cuff pressure and position of cylindrical-cuff and tapered-cuff tracheal tubes during laparoscopic abdominal surgery",
abstract = "Objectives To evaluate changes in cuff pressure and position of tapered-cuff and cylindrical-cuff tracheal tubes (TTs) during laparoscopic cholecystectomy; to compare the frequency of endobronchial intubation and airway complaints with the two types of TT. Methods Patients were randomly assigned to intubation with a TT with a cylindrical cuff (group C) or a tapered cuff (group T). Anaesthesia was maintained with sevoflurane, O2 and N2O after intubation. TT cuffs were inflated to 20 cm H2O; changes in cuff pressure and volume were measured up to 30 min after the start of N2O use. Distance between the TT tip and the carina was measured before and after pneumoperitoneum and position change. Frequency of sore throat, dysphagia and hoarseness in the two groups was recorded. Results Cuff volume and pressure were significantly lower in group T than in group C (n = 32 per group). Cuff pressure and volume significantly increased 30 min after start of N2O use in both groups. Distance from the TT tip to the carina decreased during surgery in both groups. There were no cases of endobronchial intubation, and there were no between-group differences in the frequency of airway complaints. Conclusions The tapered cuff was associated with a smaller change in cuff pressure during laparoscopic cholecystectomy than the cylindrical cuff, and therefore may be associated with increased preservation of tracheal mucosal perfusion.",
keywords = "Airway complications, laparoscopic surgery, tracheal cuff, tracheal tube",
author = "Shin, {Hye Won} and Kim, {Dong Hwan} and Yoo, {Hae Seun} and Lee, {Dong Kyu} and Yoo, {Young Dong} and Lim, {Choon Hak}",
year = "2015",
month = "1",
day = "1",
doi = "10.1177/0300060515581670",
language = "English",
volume = "43",
pages = "544--554",
journal = "Journal of International Medical Research",
issn = "0300-0605",
publisher = "Field House Publishing LLP",
number = "4",

}

TY - JOUR

T1 - Changes in cuff pressure and position of cylindrical-cuff and tapered-cuff tracheal tubes during laparoscopic abdominal surgery

AU - Shin, Hye Won

AU - Kim, Dong Hwan

AU - Yoo, Hae Seun

AU - Lee, Dong Kyu

AU - Yoo, Young Dong

AU - Lim, Choon Hak

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Objectives To evaluate changes in cuff pressure and position of tapered-cuff and cylindrical-cuff tracheal tubes (TTs) during laparoscopic cholecystectomy; to compare the frequency of endobronchial intubation and airway complaints with the two types of TT. Methods Patients were randomly assigned to intubation with a TT with a cylindrical cuff (group C) or a tapered cuff (group T). Anaesthesia was maintained with sevoflurane, O2 and N2O after intubation. TT cuffs were inflated to 20 cm H2O; changes in cuff pressure and volume were measured up to 30 min after the start of N2O use. Distance between the TT tip and the carina was measured before and after pneumoperitoneum and position change. Frequency of sore throat, dysphagia and hoarseness in the two groups was recorded. Results Cuff volume and pressure were significantly lower in group T than in group C (n = 32 per group). Cuff pressure and volume significantly increased 30 min after start of N2O use in both groups. Distance from the TT tip to the carina decreased during surgery in both groups. There were no cases of endobronchial intubation, and there were no between-group differences in the frequency of airway complaints. Conclusions The tapered cuff was associated with a smaller change in cuff pressure during laparoscopic cholecystectomy than the cylindrical cuff, and therefore may be associated with increased preservation of tracheal mucosal perfusion.

AB - Objectives To evaluate changes in cuff pressure and position of tapered-cuff and cylindrical-cuff tracheal tubes (TTs) during laparoscopic cholecystectomy; to compare the frequency of endobronchial intubation and airway complaints with the two types of TT. Methods Patients were randomly assigned to intubation with a TT with a cylindrical cuff (group C) or a tapered cuff (group T). Anaesthesia was maintained with sevoflurane, O2 and N2O after intubation. TT cuffs were inflated to 20 cm H2O; changes in cuff pressure and volume were measured up to 30 min after the start of N2O use. Distance between the TT tip and the carina was measured before and after pneumoperitoneum and position change. Frequency of sore throat, dysphagia and hoarseness in the two groups was recorded. Results Cuff volume and pressure were significantly lower in group T than in group C (n = 32 per group). Cuff pressure and volume significantly increased 30 min after start of N2O use in both groups. Distance from the TT tip to the carina decreased during surgery in both groups. There were no cases of endobronchial intubation, and there were no between-group differences in the frequency of airway complaints. Conclusions The tapered cuff was associated with a smaller change in cuff pressure during laparoscopic cholecystectomy than the cylindrical cuff, and therefore may be associated with increased preservation of tracheal mucosal perfusion.

KW - Airway complications

KW - laparoscopic surgery

KW - tracheal cuff

KW - tracheal tube

UR - http://www.scopus.com/inward/record.url?scp=84936945786&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84936945786&partnerID=8YFLogxK

U2 - 10.1177/0300060515581670

DO - 10.1177/0300060515581670

M3 - Article

C2 - 26116609

AN - SCOPUS:84936945786

VL - 43

SP - 544

EP - 554

JO - Journal of International Medical Research

JF - Journal of International Medical Research

SN - 0300-0605

IS - 4

ER -