Effect of adjusted cuff pressure of endotracheal tube during thyroidectomy on postoperative airway complications: Prospective, randomized, and controlled trial

Jung Hee Ryu, Sun Sook Han, Sanghwan Do, Jung Man Lee, Sang Chul Lee, Eun Soo Choi

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9 Citations (Scopus)

Abstract

Background: Postoperative sore throat (POST) is a common complaint after general anesthesia, especially following thyroidectomy. Materials and methods: We examined the effect of adjusting the endotracheal tube cuff pressure during thyroidectomy on the incidence of airway complications. Ninety patients scheduled for elective thyroidectomy were randomized into two groups: control (group A, n = 45) and experimental (group B, n = 45). All patients underwent total intravenous anesthesia with propofol and remifentanil. In group A, the cuff pressure was set to 25 cm H2O initially and then monitored continuously without adjustment during thyroidectomy. In group B, the cuff pressure was maintained at approximately 25 cm H2O throughout the operation. The incidences and the severity of POST, hoarseness, dysphagia, and cough were recorded at 2 and 24 h postoperatively. Results: Cuff pressures in group A changed significantly over time (P < 0.05) and were higher than those of group B during thyroidectomy (P < 0.05). The incidences of POST were lower in group B than in group A at 2 and 24 h postoperatively (P < 0.05), and there was a significant difference in the severity of POST at 2 h postoperatively between the two groups. There were no differences in the incidences of hoarseness, dysphagia, and cough between the two study groups (P > 0.05). Adjusting the endotracheal cuff pressure during thyroidectomy decreased the incidence and degree of POST. Conclusions: Intraoperative monitoring and adjustment of the cuff pressure can reduce POST in patients undergoing thyroidectomy.

Original languageEnglish
Pages (from-to)786-791
Number of pages6
JournalWorld Journal of Surgery
Volume37
Issue number4
DOIs
StatePublished - 1 Apr 2013

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Thyroidectomy
Randomized Controlled Trials
Pharyngitis
Pressure
Incidence
Intraoperative Monitoring
Intravenous Anesthesia
Hoarseness
Propofol
Deglutition Disorders
Cough
General Anesthesia
Control Groups

Cite this

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title = "Effect of adjusted cuff pressure of endotracheal tube during thyroidectomy on postoperative airway complications: Prospective, randomized, and controlled trial",
abstract = "Background: Postoperative sore throat (POST) is a common complaint after general anesthesia, especially following thyroidectomy. Materials and methods: We examined the effect of adjusting the endotracheal tube cuff pressure during thyroidectomy on the incidence of airway complications. Ninety patients scheduled for elective thyroidectomy were randomized into two groups: control (group A, n = 45) and experimental (group B, n = 45). All patients underwent total intravenous anesthesia with propofol and remifentanil. In group A, the cuff pressure was set to 25 cm H2O initially and then monitored continuously without adjustment during thyroidectomy. In group B, the cuff pressure was maintained at approximately 25 cm H2O throughout the operation. The incidences and the severity of POST, hoarseness, dysphagia, and cough were recorded at 2 and 24 h postoperatively. Results: Cuff pressures in group A changed significantly over time (P < 0.05) and were higher than those of group B during thyroidectomy (P < 0.05). The incidences of POST were lower in group B than in group A at 2 and 24 h postoperatively (P < 0.05), and there was a significant difference in the severity of POST at 2 h postoperatively between the two groups. There were no differences in the incidences of hoarseness, dysphagia, and cough between the two study groups (P > 0.05). Adjusting the endotracheal cuff pressure during thyroidectomy decreased the incidence and degree of POST. Conclusions: Intraoperative monitoring and adjustment of the cuff pressure can reduce POST in patients undergoing thyroidectomy.",
author = "Ryu, {Jung Hee} and Han, {Sun Sook} and Sanghwan Do and Lee, {Jung Man} and Lee, {Sang Chul} and Choi, {Eun Soo}",
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T1 - Effect of adjusted cuff pressure of endotracheal tube during thyroidectomy on postoperative airway complications

T2 - Prospective, randomized, and controlled trial

AU - Ryu, Jung Hee

AU - Han, Sun Sook

AU - Do, Sanghwan

AU - Lee, Jung Man

AU - Lee, Sang Chul

AU - Choi, Eun Soo

PY - 2013/4/1

Y1 - 2013/4/1

N2 - Background: Postoperative sore throat (POST) is a common complaint after general anesthesia, especially following thyroidectomy. Materials and methods: We examined the effect of adjusting the endotracheal tube cuff pressure during thyroidectomy on the incidence of airway complications. Ninety patients scheduled for elective thyroidectomy were randomized into two groups: control (group A, n = 45) and experimental (group B, n = 45). All patients underwent total intravenous anesthesia with propofol and remifentanil. In group A, the cuff pressure was set to 25 cm H2O initially and then monitored continuously without adjustment during thyroidectomy. In group B, the cuff pressure was maintained at approximately 25 cm H2O throughout the operation. The incidences and the severity of POST, hoarseness, dysphagia, and cough were recorded at 2 and 24 h postoperatively. Results: Cuff pressures in group A changed significantly over time (P < 0.05) and were higher than those of group B during thyroidectomy (P < 0.05). The incidences of POST were lower in group B than in group A at 2 and 24 h postoperatively (P < 0.05), and there was a significant difference in the severity of POST at 2 h postoperatively between the two groups. There were no differences in the incidences of hoarseness, dysphagia, and cough between the two study groups (P > 0.05). Adjusting the endotracheal cuff pressure during thyroidectomy decreased the incidence and degree of POST. Conclusions: Intraoperative monitoring and adjustment of the cuff pressure can reduce POST in patients undergoing thyroidectomy.

AB - Background: Postoperative sore throat (POST) is a common complaint after general anesthesia, especially following thyroidectomy. Materials and methods: We examined the effect of adjusting the endotracheal tube cuff pressure during thyroidectomy on the incidence of airway complications. Ninety patients scheduled for elective thyroidectomy were randomized into two groups: control (group A, n = 45) and experimental (group B, n = 45). All patients underwent total intravenous anesthesia with propofol and remifentanil. In group A, the cuff pressure was set to 25 cm H2O initially and then monitored continuously without adjustment during thyroidectomy. In group B, the cuff pressure was maintained at approximately 25 cm H2O throughout the operation. The incidences and the severity of POST, hoarseness, dysphagia, and cough were recorded at 2 and 24 h postoperatively. Results: Cuff pressures in group A changed significantly over time (P < 0.05) and were higher than those of group B during thyroidectomy (P < 0.05). The incidences of POST were lower in group B than in group A at 2 and 24 h postoperatively (P < 0.05), and there was a significant difference in the severity of POST at 2 h postoperatively between the two groups. There were no differences in the incidences of hoarseness, dysphagia, and cough between the two study groups (P > 0.05). Adjusting the endotracheal cuff pressure during thyroidectomy decreased the incidence and degree of POST. Conclusions: Intraoperative monitoring and adjustment of the cuff pressure can reduce POST in patients undergoing thyroidectomy.

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VL - 37

SP - 786

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JO - World journal of surgery

JF - World journal of surgery

SN - 0364-2313

IS - 4

ER -