Evaluation of the accuracy of finger-tip palpation of pilot balloon as amethod to judge endo tracheal tube cuff pressure
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 2
Abstract
Aims and Objectives- To check the reliability of finger tip palpation of pilot balloon to judge the ETT cuff Pressure, to record the volume required to achieve the ETT cuff pressure of 25 cm H2O. Material and Methods- Total 100 patients of posted for surgery under general anesthesia were studied. After premedication, Inductiondone with inj. Propofol 2 mg/kg, inj. Succinylcholine 2 mg/kg. Female patients will be intubated with 7.0 no cuffed ETT, Male patients will be intubated with 8.0 no. cuffed ETT. ETT cuff will be inflated and cuff pressure was judged by palpation of pilot balloon method. Actual ETT cuff pressure was checked by ETT cuff manometer and recorded. Then the ETT cuff will be inflated by 1 ml incremental inflation of air and the actual air required toget the pressure of 25 cmH2O, and it will be again noted. Results– In 72 % cases ETT cuff pressure was above 30 cm H2O, in 18 % cases cuff pressure was in the recommended range (20-30 cm H2O), in 10% cases it was below 20 cm H2OConclusion– ETT cuff pressure measurement using ETT cuff manometer should be highly recommended as routine method to inflate ETT cuff.
Authors and Affiliations
Manohar Mane, Prashant Lomate, J Paranjape
Keywords
Related Articles
- EP ID EP616680
- DOI 10.26611/101510218
- Views 169
- Downloads 0
Single dose intravenous paracetamol versus intravenous tramadol in orthopedic surgeries: A randomized study
Objective: 1) To compare the duration as well as quality of analgesia after a single dose Intravenous Paracetamol and Tramadol. 2) to compare the side effect of two drugs. Method: The present study was carried out on 120...
Comparison of Propofol and Thiopentone as anaesthetic agents for electroconvulsive therapy - A prospective, double blinded cross over trial
Background: The ideal anaesthetic agent for electroconvulsive therapy (ECT) should provide a smooth, rapid induction and recovery with minimal antagonistic effect on the seizure activity. We compared two induction agents...
Hemodynamic changes and post-operative complications with use of caudal bupivacaine and bupivacaine-dexmedetomidine combination for post-operative analgesia
Background: Caudal anaesthesia is a commonly performed regional block in children for abdominal and lower limb surgeries. The use of adjuncts like Dexmedetomidine can effectively help in reduction of the dose and an incr...
Effects of addition of dexmedetomidine to bupivacaine on the block characteristics of brachial plexus block by supraclavicular approach
Background: Dexmedetomidine, a non-opioid adjuvant to neural blockade supposed to improve the quality of nerve blockade. This study intends to compare the effects of addition of dexmedetomidine as an adjutant to bupivaca...
A double blind, randomized, controlled trial to study the effect of dexmedetomidine on hemodynamic and recovery responses during tracheal extubation
Background: Extubation is known to produce significant hemodynamic disturbances. Literature claims that dexmedetomidine, provides excellent cardiovascular stability, no respiratory depression and may be a useful adjunct...