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Changes in endotracheal tube cuff pressure during laparoscopic surgery in head-up or head-down position.


ABSTRACT: BACKGROUND: The abdominal insufflation and surgical positioning in the laparoscopic surgery have been reported to result in an increase of airway pressure. However, associated effects on changes of endotracheal tube cuff pressure are not well established. METHODS: 70 patients undergoing elective laparoscopic colorectal tumor resection (head-down position, n?=?38) and laparoscopic cholecystecomy (head-up position, n?=?32) were enrolled and were compared to 15 patients undergoing elective open abdominal surgery. Changes of cuff and airway pressures before and after abdominal insufflation in supine position and after head-down or head-up positioning were analysed and compared. RESULTS: There was no significant cuff and airway pressure changes during the first fifteen minutes in open abdominal surgery. After insufflation, the cuff pressure increased from 26?±?3 to 32?±?6 and 27?±?3 to 33?±?5 cmH2O in patients receiving laparoscopic cholecystecomy and laparoscopic colorectal tumor resection respectively (both p?

SUBMITTER: Wu CY 

PROVIDER: S-EPMC4160323 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Changes in endotracheal tube cuff pressure during laparoscopic surgery in head-up or head-down position.

Wu Chun-Yu CY   Yeh Yu-Chang YC   Wang Ming-Chu MC   Lai Chia-Hsin CH   Fan Shou-Zen SZ  

BMC anesthesiology 20140831


<h4>Background</h4>The abdominal insufflation and surgical positioning in the laparoscopic surgery have been reported to result in an increase of airway pressure. However, associated effects on changes of endotracheal tube cuff pressure are not well established.<h4>Methods</h4>70 patients undergoing elective laparoscopic colorectal tumor resection (head-down position, n = 38) and laparoscopic cholecystecomy (head-up position, n = 32) were enrolled and were compared to 15 patients undergoing elec  ...[more]

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