The Effect of Cuff Pressure on Postoperative Dysphagia
Conditions
Keywords
cuff pressure, postoperative dysphagia, different positions in neurosurgery
Brief summary
We aimed to measure the change in cuff pressure in different positions in neurosurgery cases and to investigate the effect of case length on cuff pressure.
Detailed description
It is an observational study, the cuffs of the endotracheal tubes of the patients who were intubated under general anesthesia between February 2023 and May 2023 will be inflated at 25 cm H2O pressure, and then the pressure line and the pilot balloon will be connected to the anesthesia monitor. The cuff pressure of the patient will be measured from the pilot balloon throughout the case and recorded at half-hour intervals. Postoperative sore throat will be evaluated on the VAS scale. Postoperative cough, hoarseness, and dysphagia symptoms will be evaluated.
Interventions
OTHERsupine position
The patient group whose cuff pressure was measured in the supine position
OTHERprone position
The patient group whose cuff pressure was measured in the prone position
OTHERsemi-fowler position
The patient group whose cuff pressure was measured in the semi-fowler position
Sponsors
Ankara City Hospital Bilkent
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Neurosurgery patients between the ages of 18-70 ages * American Society of Anesthesiologist score I-II-III-IV
Exclusion criteria
* Patients with previous tracheostomy * Patients with tracheal stenosis * Patients considered as difficult intubation * Patients who have had more than one intubation attempt * Patients with an ASA score greater than 4 * Patient who has difficulty understanding visual analog scale (VAS) scores * Language / communication barrier * Patients younger than 18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of cuff pressure on postoperative sore throat | 24 hours | The primary outcome of the study was intubated under general anesthesia, endotracheal cuff of patients in supine, prone, semi-fowler position is to observe the change of pressures according to the positions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of cuff pressure changes with cuff time according to groups | 8 hours | Secondary outcome of the study, case length on endotracheal cuff pressure is to observe. |
Contacts
Primary ContactSena Sarıcaoglu Oktem, Resident
Backup ContactMehmet Sahap, Specialist
Outcome results
None listed