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The Change of Endotracheal Tube Cuff Pressure During Laparoscopic Surgery by Kwon, Youngsuk; Jang, Ji Su; Hwang, Sung Mi; Lee, Jae Jun; Hong, Seok Jun; Hong, Sung Jun; Kang, Byung Yong; Lee, Ho Seok is a Medicine article available to read on EtoBox.

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Background. We evaluated the endotracheal tube cuff pressure (P cuff ) changes during pneumoperitoneum for laparoscopic cholecystectomy and the correlations between body mass index (BMI), pneumoperitoneum time, and P cuff changes. Methods: Total 60 patients undergoing laparoscopic cholecystectomy were allocated to either a study group (BMI ≥ 25 kg/m 2 ) or a control group (BMI < 25 kg/m 2 ). The endotracheal intubation was performed with a high-volume low-pressure cuffed oral endotracheal tube. A manometer was connected to the pilot balloon using a 3-way stopcock and the cuff was inflated. The change in P cuff was defined as the difference between the pressure just before intra-abdominal CO 2 insufflation and the pressure before CO 2 desufflation. Results: P cuff increased to 5.3 ± 3.6 cmH 2 O in the study group and 5.7 ± 5.4 cmH 2 O in the control group. There was no significant difference between two groups. While BMI was not correlated with change in P cuff (r = 0.022, p = 0.867), there was a significant correlation between change in P cuff and the duration of pneumoperitoneum (r = 0.309, p = 0.016). ## Conclusion: The change in P cuff was not affected by BMI and was significant

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Author

Kwon, Youngsuk; Jang, Ji Su; Hwang, Sung Mi; Lee, Jae Jun; Hong, Seok Jun; Hong, Sung Jun; Kang, Byung Yong; Lee, Ho Seok

Publisher

Walter de Gruyter GmbH; Warsaw: De Gruyter Open; Warsaw: De Gruyter Poland (ISSN 2391-5463)

Published

2019

Language

EN

Field

Medicine (Health Sciences)