A COMPARATIVE STUDY OF CHANGE IN CUFF PRESSSURE AND PEAK PRESSURE IN HEAD UP AND HEAD LOW POSITION IN LAPROSCOPIC SURGERY

Volume : VII, Issue : IV, April - 2018

Dr. Sadhana Sanwatsarkar, Dr. Kamal Kishor Patel, Dr. Neetu Gupta, Dr. Sourabh Jain

BACKGROUND: Endotracheal intubation using a Tracheal Tube (TT) is an essential step during general anaesthesia. Cuffs require

proper sealing for positive ventilation, and are maintained using minimal pressure and volume to protect the perfusion of tracheal

mucosa, minimizing airway complications such as oropharyngeal aspiration, sore throat and tracheal stenosis. Abdominal CO 2

gas insufflation, positional changes during laparoscopic surgery is required to provide a good surgical field during laparoscopic

surgery. This all may contribute to endoonchial intubation or postoperative airway complications (due to changes in cuff

pressure or in the position of the TT).

AIM AND OBJECTIVE: To know the variations in cuff pressure and peak pressure changes during laparoscopic surgery in head up

and head low position and to compare the changes between them.

RESULT: It was noticed that peak pressure, cuff pressure increased significantly in head up and low position, changes are more in

head low position compared to head up position.

CONCLUSION: There is significant change in cuff pressure, peak pressure and cuff pressure changes are more in head low

position as compared to head up position during laparoscopic surgery under general anaesthesia.