Comparison Of Endotracheal Cuff Pressure Changes During Laparoscopic Abdominal Surgeries In Head Up Versus Head Down Versus Supine Horizontal Position - A Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- To assess the effect of patient positioning on endotracheal cuff pressure dynamics during laparoscopic abdominal surgeries.
研究概览
简要总结
This study explores how endotracheal cuff pressures change during laparoscopic abdominal surgeries in different patient positions—head-up, head-down, and supine. Factors such as pneumoperitoneum (CO2 inflation), changes in intrathoracic pressure, and nitrous oxide diffusion into the cuff can lead to increased intracuff pressure, potentially causing tracheal mucosal damage and post-intubation complications like sore throat and hoarseness. Since cuff pressures are not routinely monitored, understanding these changes is critical for optimizing patient safety. Proper cuff pressure management tailored to surgical positioning can minimize airway complications and enhance outcomes in laparoscopic surgeries
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 50.00 Year(s)（—）
- 性别
- All
入选标准
- •Adult patient from either gender aged between 18 to 50 years.
- •Patient scheduled for elective laparoscopic surgery requiring nitrous oxide anesthesia with endotracheal intubation and controlled ventilation.
- •ASA grade I/II.
排除标准
- •Any contraindications to use of nitrous oxide.
- •Patient having laryngeal diseases and undergoing laryngeal surgeries Patient with any type of airway diseases.
- •If more than one attempt in intubation patient will be excluded from study.
- •Patients with high risk of pulmonary complications.
- •Non willing Patients.
结局指标
主要结局
To assess the effect of patient positioning on endotracheal cuff pressure dynamics during laparoscopic abdominal surgeries.
时间窗: In 1 Year
1) Head up (30 degree) with supine position
时间窗: In 1 Year
2) Head down (30 degree) with supine position
时间窗: In 1 Year
3) Supine horizontal position
时间窗: In 1 Year
To determine the frequency of cuff pressure adjustments required during surgery in each position.
时间窗: In 1 Year
次要结局
- To investigate the relationship between changes in intra-abdominal pressure and variations in endotracheal cuff pressure.(To evaluate the incidence of complications associated with inappropriate cuff pressure management, such as air leaks or excessive pressure on the tracheal mucosa.)
研究者
DR GANGIREDDY KRISHNA REDDY
Varun Arjun Medical College and Rohilkhand Hospital