Health Condition 1: null- ASA Class 1,2 and 3 patients scheduled for any elective surgical procedure under general anesthesia
Conditions
Interventions
Intervention1: Group M
Inflation of ETT cuff by a syringe: Inflation of ETT cuff by a syringe with estimation of intra cuff pressure by manual palpation of pilot balloon and by auscultation with a ste
Sponsors
Dr Alka Hasmukhhai Bhoot
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age: 18-75 years 2) Gender: male and female 3) ASA Class: 1, 2, 3 4) Patients posted for routine surgery, without any risk of aspiration or regurgitation requiring general anesthesia with orotracheal intubation 5) Duration of surgery less than 4 hours 6) Two or less than two attempts of intubation
Exclusion criteria
Exclusion criteria: 1) Prone/lateral positioning for surgery 2) Recent history of upper respiratory tract infections; preoperative sore throat, hoarseness of voice or cough 3) Tracheostomised patients 4) Known airway anomalies (airway stenosis, including Downâ??s syndrome) 5) Known or suspected difficult intubation 6) Head and neck surgeries like surgery of the larynx and/or of the trachea, neck, and/or upper oesophagus 7) Pulmonary diseases (concurrent pneumonia or bronchial infection, asthma requiring inhalation medication, pulmonary malformations) 8) Fibre-optic intubation or alternative intubation technique 9) Planned postoperative ventilation in the ICU 10) Patients at risk of aspiration - Pregnant patients, full stomach. 11) Anterior cervical spine surgeries. 12) Patients having hypotension (BP 13) Patients with BMI > 35 kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary aim: 1) To compare endotracheal cuff pressures obtained by- manual inflation of pilot balloon (by a syringe) and direct inflation via a cuff pressure gauge. 2) To evaluate changes in cuff pressure over time. Timepoint: 1. just after intubation 2. at 30 mins 3. at 1 hour 4. at 2 hours 5. at 3 hours 6. at 4 hours/ just before extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary aim: To assess complications like sore throat, hoarseness of voice, cough, post extubation stridor which may occur as a result of overinflated ETT cuff; aspiration which may occur as a result of insufficiently inflated cuff. Timepoint: secondary outcome observed after 2 hours and 24 hours after extubation | — |
Countries
India
Contacts
Public ContactDr Alka Hasmukhbhai Bhoot
Government medical college and New civil hospital, Surat
Outcome results
None listed