three methods of endotracheal tube cuff inflation are compared in adult patients under general anaesthesia with endotracheal intubation
- Conditions
- Medical and Surgical,
- Registration Number
- CTRI/2023/06/054077
- Lead Sponsor
- Dr Suman Saini
- Brief Summary
endotracheal intubation is routinely performed for patients undergoing general anaesthesia.it is crucial to maintain appropriate cuff pressure to avoid cuff related serious adverse events. under inflation may lead to gastric distension, aspiration of oropharyngeal secretions, leakage of anaesthetic gases and thereby environmental pollution. overinflation may lead to compromised local tissue blood flow, necrosis and damage to surrounding anatomical structures. recommended range for cuff pressure is 20-25cm of water. we will be using three different methods of endotracheal tube cuff inflation in adult patients undergoing general anaesthesia with endotracheal intubation and check to see which is the best in achieving the cuff pressures in the recommended range. after a written and informed consent the methods used are pilot balloon palpation following cuff inflation by a regular 10ml syringe, use of loss of resistance syringe used in epidural sets and a syringe device with pressure sensor. we hypothesise that most appropriate cuff pressures are achieved by syringe device with pressure sensor. study design is a prospective interventional randomised controlled study with a sample size of 150 comprising 50 patients per group.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 150
under American society of physical status (ASA) grade 1-3 who are undergoing elective surgical procedure lasting upto 3 hours.
- surgical procedure duration greater than 3 hours.
- patients with anticipated difficult airway.
- patients with preoperative cough or upper airway diseases.
- patients with known or anticipated risk of aspiration.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method to compare the accuracy of three different techniques using pressure value in the endotracheal tube cuff immediately following inflation in adult patients undergoing general anaesthesia with endotracheal intubation immediately following inflation of tube cuff
- Secondary Outcome Measures
Name Time Method percentage of patients having cuff pressures within the optimal or recommended range 20-25 cm of water. 24 hour
Trial Locations
- Locations (1)
vardhman mahavir medical college and safdarjung hospital
🇮🇳West, DELHI, India
vardhman mahavir medical college and safdarjung hospital🇮🇳West, DELHI, Indiadr parkhi bhartiPrincipal investigator8745004603bhartijune14parkhi@gmail.com