Changes in Endotracheal Tube Cuff Pressure during Laparoscopic assisted vaginal hysterectomy and Total abdominal hysterectomy.

Dr. AmrutaPooja Kannadkar; Dr. Shalini Sardesai; Dr. Dhanashree Dongare

Volume : VII, Issue : V, May - 2017

Changes in Endotracheal Tube Cuff Pressure during Laparoscopic assisted vaginal hysterectomy and Total abdominal hysterectomy.

Dr. Amrutapooja Kannadkar, Dr. Shalini Sardesai, Dr. Dhanashree Dongare

Abstract :

Aim of this study was to evaluate endotracheal cuff pressure changes and incidence of postoperative sore throat during laparoscopic surgery in Trendelenburg position. Thirty patients from 2 groups –Group L (Laparoscopic assisted vaginal hysterectomy) and Group O (Open abdominal hysterectomy) were given general anaesthesia. Endotracheal cuff pressure and Airway pressure was measured with Manometer after intubation, after Pneumoperitoneum and after giving position in group L then every 10 min till 1hr. The increase in Endotracheal cuff pressures [Group L 8.07 ± 2.96 & Group O 3.13 ± 2.4 cm of H2O] , Airway pressures [Group L 10.10 ±3.0 & Group O 8.10 ±3.16cm of H2O] were higher in Group L compared to Group O, (p <0.001). Conclusion: Pneumoperitoneum in Trendelenburg position increases ETT cuff pressure probably due to increase in airway pressure. Therefore it seems advisable to include routine monitoring of ETT cuff pressure.