Incidence of Throat Complaints Post Endotracheal Intubation: Comparison of Estimation and Measurement on Cuff Pressure With or Without Equipment in GBPT RSUD dr.Soetomo Surabaya
| Main Author: | Sulistyono, Herdy |
|---|---|
| Format: | application/pdf eJournal |
| Terbitan: |
The Indonesian Journal of Anesthesiology and Critical Care
, 2011
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| Online Access: |
http://indonesia.digitaljournals.org/index.php/majacc/article/view/170 |
Daftar Isi:
- Background: Along with globalization era there are much worries about the patient complaints caused by complications of medical procedures. Tracheal intubati on procedure routinely conducted for general anesthesia has been associated with throat complaints (i.e sore throat, cough,and hoarseness) caused by the endotracheal tube cuff traumatic pressure at the tracheal lateral wall. Methods: Fifty ASA class 1 and 2 patients, aged 20 to 60 years undergoing elective surgeries under general anesthesia with endotracheal intubation in GBPT dr Soetomo Hospital Surabaya were randomized into two groups: treatment and control groups. The first was using Endotest® special device while the later assessed by clinical estimation. Throat complaints were recorded 20-24 hours after surgery.The cuff inflations and post operative assessments all conducted by double blinded technique. Result: Air volume injected into endotracheal tube cuff in the first group was averaging 5,24 + 1,66 ml, the latergroup cuff pressure was maintained between 25 and 30 cmH2O as recommended by previous studies. The incidence of throat complaints was considerably lower (20%) compared to other reports in the literature, this study found no significant differences of throat complaints incidence between those groups (OR = 0,603, 95% CI = 0,147 to 2,468). Conclusion: A simple and cheap method to inflate the endotracheal tube cuff using minimal occlusive volumetechnique was showed relatively safe in daily anesthesia practice, especially if there is no such more expensive Endotest® special device available around. Keywords: Complications, Sore Throat, Endotracheal Tube Cuff , Inflation Methods