Evaluation of POST with cuffed endotracheal tube in men and women with standard tracheal tube and one size smaller in laproscopic surgeriesâ€¦

Completed

Conditions: Medical and Surgical,

Registration Number: CTRI/2023/03/050900

Lead Sponsor: Mahatma gandhi Medical College

Brief Summary: Post operative sore throat is quite common occurence following general anaesthesia after tracheal intubation and impairs post operative recovery.it is a minor complication but ensures about patient comforts and further complications.Factors such as tracheal tube size and cuff design have been showed to be an important causative factors.Routine tracheal intubation for elective surgical procedure can result in pathological changes,trauma and nerve damage which may also accounts for post operative symptoms.Sore throat following the use of laryngeal mask appears to be related to insertion of technique.High intracuff pressure is associated with nerve palsies due to neuropraxia and nerve compression.Careful insertion of both tracheal tube and laryngeal mask paramounts to prevention of airway trauma and post operative sore throat. The goal is to relieve post operative sore throat and hoarseness of voice with minimal complications.Smaller diameter tracheal tube may decreases the rate of post operative sore throat.The concern may be increase the resistance to airflow and mean airway pressure.These effects can be attenuated by lower tidal volume with positive end expiratory pressure.We hypothesized that smaller tracheal tube would reduce the rate of postoperative sore throat without significantly increase in pressure during mechanical ventilation with lower tidal volume.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 200

Inclusion Criteria

Patient fullfillig criteria of american society of anaesthesiology (ASA) of class I/II Patient aged 18-65 years of both sexes Patient posted for laproscopic surgeries under general annaesthesia Patient giving consent for the study.

Exclusion Criteria

Sore throat AND hoarseness Anticipated difficult airway Upper respiratory infection more than 1 month Moderate/severe obstructive pulmonary disease Previous ARDS or lung resection BMI>35kg Surgeries in trendlenberg position.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the incidence of post operative sore throat	until 24 hours after extubation

Secondary Outcome Measures

Name	Time	Method
To compare intra operative ventilatory parameter like peak inspiratory pressure,plateau pressure,cuff pressure and end tidal co2.	150 minutes
To compare the severity of post operative sore throat, if it occurs	until 24 hours after extubation

Trial Locations

Locations (1): Mahatma Gandhi Hospital and College
🇮🇳
Jaipur, RAJASTHAN, India
Mahatma Gandhi Hospital and College
🇮🇳Jaipur, RAJASTHAN, India
Dr Nupur Agarwal
Principal investigator
9589347931
nupsy.nupur@gmail.com