Main Article Content

Abstract

BACKGROUND


Following general anaesthesia, up to 62% of patients experience postoperative sore throat. Despite the fact that it resolves on its own, efforts must be made to reduce it. We wanted to evaluate the difference between conventional method and instrumental measurement of cuff pressure in incidence and severity of postoperative sore throat in this study.


METHODS


A prospective observational study that included 150 adult patients aged < 50 years scheduled for elective surgical operation requiring general anaesthesia and endotracheal intubation. They were divided randomly into two groups: Group A included 75 patients and the adequacy of cuff inflation was generally assessed clinically and group B included 75 patients and the adequacy of cuff inflation was generally assessed by using a cuff manometer.


RESULTS


Incidence of postoperative sore throat in all times was significantly lower in Group B than in Group A. Prevalence of mild postoperative sore throat after one hr. was significantly higher in group B than that in group A (94.1% versus 61.4%, P= 0.001).


CONCLUSIONS


Impaired tracheal mucosal blood flow was an important factor in the incidence of postoperative sore throat associated with tracheal intubation and recommended that a cuff inflation pressure of 30 cmH2O should not be exceeded.

Keywords

Postoperative, Sore Throat, Manometer, Endotracheal Intubation, Iraq.

Article Details

How to Cite
Hussein Talib Mohsin, Mustafa Mohammed Salih, & Ali Ridha Hassoon. (2023). Evaluation of the Effect of the Endotracheal Tube Cuff Pressure Measurement on Postoperative Sore Throat. Journal of Evolution of Medical and Dental Sciences, 12(6), 187–190. https://doi.org/10.14260/jemds.v12i6.426

References

  1. Rouzé A, Nseir S. Continuous control of tracheal cuff pressure for the prevention of ventilator-associated pneumonia in critically ill patients: where is the evidence? Current Opinion in Critical Care 2013;19(5):440-7.
  2. Aziz MF. Advancing patient safety in airway management. Anesthesiology 2018;128(3):434-6.
  3. Ganason N, Sivanaser V, Liu CY, et al. Post-operative sore throat: comparing the monitored endotracheal tube cuff pressure and pilot balloon palpation methods. The Malaysian Journal of Medical Sciences: MJMS 2019;26(5):132.
  4. Brodbelt D, Pfeiffer D, Young L, et al. Risk factors for anaesthetic-related death in cats: results from the confidential enquiry into perioperative small animal fatalities (CEPSAF). British Journal of Anaesthesia 2007;99(5):617-23.
  5. Muniappan A, Wain JC, Wright CD, et al. Surgical treatment of nonmalignant tracheoesophageal fistula: a thirty-five year experience. The Annals of Thoracic Surgery 2013;95(4):1141-6.
  6. Nseir S, Zerimech F, Jaillette E, et al. Microaspiration in intubated critically ill patients: diagnosis and prevention. Infectious Disorders-Drug Targets (Formerly Current Drug Targets-Infectious Disorders) 2011;11(4):413-23.
  7. Hung WC, Ko JC, Weil AB, et al. Evaluation of endotracheal tube cuff pressure and the use of three cuff inflation syringe devices in dogs. Frontiers in Veterinary Science 2020:39.
  8. Stein C, Berkowitz G, Kramer E. Assessment of safe endotracheal tube cuff pressures in emergency care: time for change? SAMJ: South African Medical Journal 2011;101(3):172-3.
  9. Bulamba F, Kintu A, Ayupo N, et al. Achieving the recommended endotracheal tube cuff pressure: a randomized control study comparing loss of resistance syringe to pilot balloon palpation. Anesthesiology Research and Practice 2017;2017:2032748.
  10. El‐Boghdadly K, Bailey C, Wiles M. Postoperative sore throat: a systematic review. Anaesthesia 2016;71(6):706-17.
  11. Puthenveettil N, Kishore K, Paul J, et al. Effect of cuff pressures on postoperative sore throat in gynecologic laparoscopic surgery: an observational study. Anesth Essays Res 2018;12(2):484-8.
  12. Hammad Y, Shallik N, Sadek M, et al. Effects of endotracheal tube size and cuff pressure on the incidence of postoperative sore throat: comparison between three facilities. Southern Clinics of Istanbul Eurasia 2019;30(4).
  13. Hoffman R, Parwani V, Hsu B, et al. Emergency physicians cannot inflate or estimate endotracheal tube cuff pressure using standard techniques. Annals of Emergency Medicine 2004;44(4):S118-S9.
  14. Biro P, Seifert B, Pasch T. Complaints of sore throat after tracheal intubation: a prospective evaluation. European Journal of Anaesthesiology 2005;22(4):307-11.
  15. McHardy F, Chung F. Postoperative sore throat: cause, prevention and treatment. Anaesthesia 1999;54(5):444-53.
  16. Wu CY, Yeh YC, Wang MC, et al. Changes in endotracheal tube cuff pressure during laparoscopic surgery in head-up or head-down position. BMC Anesthesiology 2014;14(1):1-6.
  17. Liu JZ, Gong XW, Li S, et al. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study. Anesth Analg 2010:1133-7.
  18. Higgins P, Chung F, Mezei G. Postoperative sore throat after ambulatory surgery. Br J Anaesth 2002;88(4):582-4.
  19. Ozer A, Demirel I, Gunduz G, et al. Effects of user experience and method in the inflation of endotracheal tube pilot balloon on cuff pressure. Nigerian Journal of Clinical Practice 2013;16(2):253-7.
  20. Jaensson M, Gupta A, Nilsson UG. Risk factors for development of postoperative sore throat and hoarseness after endotracheal intubation in women: a secondary analysis. AANA Journal 2012;80(4):S67.
  21. Bao-Ji H, Xu J, Xiao-Hong Z, et al. Impact of endotracheal tube cuff pressure on postoperative sore throat: a systematic review and meta-analysis. Journal of Anesthesia and Perioperative Medicine (JAPM) 2016;3(4):171.
  22. Al-Metwalli RR, Sadek S. Safety and reliability of the sealing cuff pressure of the Microcuff pediatric tracheal tube for prevention of post-extubation morbidity in children: a comparative study. Saudi Journal of Anaesthesia 2014;8(4):484.