Arthroplasty, Replacement, Hip
Conditions
Brief summary
When general anesthesia is performed for surgery, tracheal intubation is performed. In order to ventilate after performing tracheal intubation, air is injected into the cuff attached to the tube to fill the gap between the tracheal tube and the patients's inner surface of trachea. Even though, 20 to 30 cm H2O is known to be the appropriate pressure to prevent air leaks while preventing ischemic damage of tracheal mucosa. So, Researchers want to observe clinical differences in pressure at both ends of the safety zone of the cuff pressure.
Detailed description
Patients who are scheduled for elective surgery/ general anesthesia are randomized to two groups. l : cuff pressure - 20cmH2O ll : cuff pressure - 30cmH2O After tracheal intubation with routine method, cuff pressure is continuously monitored with manometer. The anesthesia during surgery is maintained with 0.8 MAC of desflurane and continuous remifentanil. Clinical outcomes (sore throat, hoarseness and postoperative pain) are evaluated after 0 minutes, 2 hours, 4 hours, and 24 hours after surgery.
Interventions
DEVICEcuff pressure
maintaining cuff pressure according the groups
Sponsors
Keimyung University Dongsan Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients undergoing total hip replacement arthroplasty that require general anesthesia
Exclusion criteria
* a patient who disagrees with the study * tracheal stenosis * operation time \> 3 hours or \< 1 hour 30 minutes * difficult airway * drug abuse, alcoholism
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative sore throat | At postoperative 24 hours | Number of participants with postoperative sore throat for postoperative 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative hoarseness | At postoperative 24 hours | Number of participants with postoperative hoarseness for postoperative 24 hours |
| nausea | At postoperative 24 hours | Number of participants with postoperative nausea for postoperative 24 hours |
| Requirements of analgesics | At postoperative 24 hours | Number of participants with analgesics use for postoperative 24 hours |
Outcome results
None listed