The Effect of Lumbar Disc Hernia Operations in Prone Position on Endotracheal Cuff Pressure and Tracheal Morbidity
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Tarih
19.04.2023
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info:eu-repo/semantics/openAccess
Özet
Background: When the cuffs of endotracheal tubes are inflated with high pressure, serious morbidities are
encountered. The aim of our study is to monitor the values of endotracheal tube cuff pressure, which can change in
different positions, during the operation and to investigate its effects on tracheal morbidity.
Materials and Methods: Prospective observational study. The age at which general anesthesia with endotracheal
intubation was applied to the study; Sixty randomly selected patients in the ASA 1-2 group, 18-80 years old, and
Mallampati class 1-2 were included between July 2016 and July 2017. Thirty patients with lumbar disc herniation
surgery were divided into 2 groups as group 1 in the prone position, and group 2 in the supine position of 30 patients
with lower or upper extremity surgery. After the patients in both groups were intubated in the supine position, the pilot
balloon was inflated with an endotracheal cuff manometer between 28-30 cmH2O. Endotracheal tube cuff pressure
was continuously monitored throughout the entire operation and recorded every 5 minutes. The patients were
evaluated in terms of cough, dysphonia and sore throat at 1, 8 and 24 hours postoperatively.
Results: Hemodynamic and respiratory parameters and temperature values of the groups were recorded during the
operation. Cuff pressures, postoperative cough, hoarseness and sore throat were statistically significantly higher in
group 1 (p:0.0001).
Conclusion: In order to minimize tracheal morbidity and related complications that may develop due to endotracheal
intubation, it was concluded that cuff pressure monitoring should become standard and continuous measurement is
required, especially in operations in the prone position.
Açıklama
Anahtar Kelimeler
Endotracheal intubation, Lumbar disc herniation, Prone position, Sore throat
Kaynak
HRU International Journal of Dentistry and Oral Research
WoS Q Değeri
Scopus Q Değeri
Cilt
3
Sayı
1
