Changes in endotracheal tube cuff pressure with the changes in peak airway pressures during total laparoscopic hysterectomy and pelvic surgeries. A prospective and observational study
نویسندگان
چکیده
Background: The abdominal insufflation and changes in endotracheal tube (ETT) cuff pressure due to creation of pneumoperitoneum patient positioning during laparoscopic surgeries have not been explored thoroughly. Aims Objectives: aim our study was see the ETT pressures creation, maintenance, release pneumoperitoneum, surgical positioning. Materials Methods: A total 60 patients were finally taken for study. Written informed consent participation as well surgery. Inclusion criteria age above 30 years, American society anesthesiology physical status 1 2, undergoing hysterectomy requiring trendelenburg Exclusion with pre-existing pulmonary or cardiac disease, vocal cord palsy, goitre any other airway thoracic pathology, pregnant lactating females, BMI more than 25 <18.5. Changes before after supine position head-down head-up analyzed compared. Results: Baseline manual inflation 28.85±11.4 cm H2O. Significant correlation observed between change increase peak at end surgery (P<0.05). Serial measurements pressure, ETCO2 significantly increased compared baseline Conclusion: Pneumoperitoneum Trendelenburg increases probably pressure. Therefore, it seems advisable include routine monitoring Objective adjusted measurement is recommended such surgeries.
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ژورنال
عنوان ژورنال: Asian Journal of Medical Sciences
سال: 2023
ISSN: ['2091-0576']
DOI: https://doi.org/10.3126/ajms.v14i7.51701