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 148
- Downloads 0
Study of effect of spinal anaesthesia on perioperative hyperglycemia in non-diabetic patients undergoing lower limb orthopaedic surgeries
Background and Aims: The stress of surgery results in increased levels of gluco-regulatory hormones and excessive release of inflammatory cytokines. The counter-regulatory response produces alterations in carbohydrate me...
Oral pregabalin vs placebo for attenuation of hemodynamic response following direct laryngoscopy and endotracheal intubation
Direct laryngoscopy and endotracheal intubation can be detrimental due to the associated hemodynamic response especially in patients with low cardiac reserve. This study aims at comparing the efficacy of oral pregabalin...
Acomparative study of intrathecal dexmedetomidine and fentanyl as adjuvants to bupivacaine to provide prolonged postoperative analgesia
Background and Objectives: Mixing adjuvants with hyperbaric bupivacaine for intrathecal injection is an practice since long time for reducing dose requirement of bupivacaine and prolongation of duration of action. Short...
Comparison of the efficacy of intrathecal buprenorphine and clonidine as adjuvants to bupivacaine for postoperative analgesia and abdominal muscle relaxation in patients of abdominal hysterectomy
Background and Aims: Various adjuvants have been used with local anesthetics in spinal anesthesia to provide adequate analgesia and muscle relaxation. The aim of this study was to evaluate and compare the two intrathecal...
Efficacy of I-gel laryngeal mask airways in mechanically ventilated patients
Background: I-gel is a new single use, non-inflatable supraglottic device for both spontaneous and controlled ventilation. It mirrors the laryngeal anatomy design. A supraglottic airway without an inflatable cuff has pot...