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Differences in endotracheal tube cuff sealing by applying four methods of endotracheal tube cuff inflation in patients undergoing general surgery procedures

Not Applicable
Completed
Conditions
endotracheal tube cuff sealing
complications from endotracheal cuff tube overinflation
Anaesthesiology - Anaesthetics
Respiratory - Other respiratory disorders / diseases
Injuries and Accidents - Other injuries and accidents
Registration Number
ACTRN12615000699561
Lead Sponsor
Georgia Tsaousi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
139
Inclusion Criteria

Adult patients, ASA physical status 1 to 3, Mallampati score 1-2, oral endotracheal intubation with a high-volume and low-pressure endotracheal tube, N2O free general anesthesia, intraoperative normothermia, conventional mechanical ventilation.

Exclusion Criteria

Tracheostomy, surgical procedures involving the neck or the upper airwa, laryngo-tracheal pathology, history of previous tracheostomy, high-frequency oscillatory ventilation, history of difficult airway management, above 2 intubation attempts and prone positioning.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The ETT cuff pressure obtained by each method of cuff inflation.<br>This will be based on the indications obtained by a non-invasive manometer applied in the pilot balloon.[Just after ETT cuff inflation];The air needed for ETT cuff inflation in each method. This will be measured as ml of air used to inflate the cuff with a pre-filled with air 10 ml-syringe.[As soon as ETT cuff inflation is completed]
Secondary Outcome Measures
NameTimeMethod
Presence of complications such as sore throat, that might occur in each method of ETT cuff inflation. This will be based on patient's self-reporting of painful sensation localized to the pharynx or surrounding anatomy.[Two, six and twenty-four hours postoperatively ];Presence of complications such as hoarseness (dysphonia) that might occur in each method of ETT cuff inflation. The patient will be assessed with the GRBAS scale. This is a subjective rating scale providing a measure of the overall grade (G), roughness (R), breathiness (B), asthenia or weakness (A), and strain (S) of dysphonia as judged by the listener on a scale of 0 to 4 (0: normal, 1: mild, 2: moderate, 3: moderate to severe, 4: severe).[Two, six and twenty-four hours postoperatively ];Presence of complications such as dysphagia that might occur in each method of ETT cuff inflation. This will be assessed by Functional Oral Intake Scale numbered as 1 the worse and as 7 the best response.[Two, six and twenty-four hours postoperatively ]
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