Deflating Method
Conditions
Keywords
Deflating method, Extubation phase, Coughing reaction
Brief summary
Patients with endotracheal intubation and general anesthesia often have severe choking and hemodynamic fluctuations during the extubation period, which increases the risk of cerebrovascular accident, arrhythmia, incision bleeding and so on . This study aimed to observe the effects of different methods of deflating of endotracheal tube cuffs on cough response and hemodynamics during periextubation in patients undergoing general anesthesia surgery.
Interventions
When removing the endotracheal tube, the gas in the cuff is drawn at a uniform and slow pace
Sponsors
Study design
Eligibility
Inclusion criteria
1. Elective endotracheal intubation under general anesthesia. 2. Operation time \< 3 h. 3. ASA grade I or II. 4. Age 18\ 65 years old.
Exclusion criteria
1. Throat and neck surgery. 2. Those assessed to have a high risk of reflux aspiration. 3. Difficulty intubation. 4. History of snoring before surgery. 5. Recent respiratory illness such as chronic cough. 6. Previous airway hyperresponsiveness, such as asthma. 7. recent use of cough suppressants. 8. Patients with severe heart, liver and kidney diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Grading of cough reaction | During extubation procedure | Grading of cough reactions |
| Change in Blood pressure | Preoperatively, immediately before extubation, immediately after extubation, 1 minute after extubation, 3 minutes after extubation, 10 minutes after extubation | Hemodynamics |
| Change in Heart rate | Preoperatively, immediately before extubation, immediately after extubation, 1 minute after extubation, 3 minutes after extubation, 10 minutes after extubation | Hemodynamics |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse reactions | Within 24 hours after removal of the endotracheal tube | Hypoventilation, pharyngeal discomfort, hoarseness |
Countries
China