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Iran J Neurosurg 2024, 10 - Continuous Publishing: 0-0 |
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Sanie Jahromi M S, Zarei M, Taheri L, Deylami M, Kalani N. Comparison of Manual and Manometric Methods for Tracheal Tube Cuff Pressure Measurement in Prone Position Patients Undergoing Lumbar Disc Surgery: A Prospective Analytical Descriptive Study. Iran J Neurosurg 2024; 10 : 21
URL: http://irjns.org/article-1-403-en.html
URL: http://irjns.org/article-1-403-en.html
Mohammad Sadegh Sanie Jahromi1 
, Meysam Zarei2 , Lohrasb Taheri3 , Mansour Deylami4 , Navid Kalani * 5
, Meysam Zarei2 , Lohrasb Taheri3 , Mansour Deylami4 , Navid Kalani * 5
1- Department of Anesthesiology, Jahrom University of medical sciences, Jahrom, Iran.
2- Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Surgery, Jahrom University of Medical Sciences, Jahrom, Iran.
4- Department of Anesthesiology and Critical Care, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
5- Department of Anesthesiology, Jahrom University of medical sciences, Jahrom, Iran. ,navidkalani@ymail.com
2- Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Surgery, Jahrom University of Medical Sciences, Jahrom, Iran.
4- Department of Anesthesiology and Critical Care, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
5- Department of Anesthesiology, Jahrom University of medical sciences, Jahrom, Iran. ,
Abstract: (119 Views)
Introduction: Effective management of tracheal tube cuff pressure is a crucial aspect of airway management, particularly in critically ill patients undergoing mechanical ventilation after endotracheal intubation. This study aimed to compare two methods of tracheal tube cuff pressure measurement—utilizing instrumental (manometer) and conventional methods—in patients undergoing lumbar disc surgery in the prone position.
Methods: This prospective analytical descriptive study involved 60 patients undergoing lumbar disc surgery in the prone position. Tracheal tube cuff pressure was initially recorded in the supine position using both the conventional manual method and the manometric method. Following the prone positioning of the patient, the cuff pressure was immediately recorded and adjusted by manometry. Subsequent recordings were made every 15 minutes until the conclusion of the surgery, using only the manometric method. Data analysis employed descriptive statistics, including mean and percentage, as well as relevant statistical tests such as repeated measurement and ANOVA using SPSS version 16 software.
Results: Significant differences were observed in tracheal tube cuff pressure measurements between the two instrumental (manometer) and conventional methods in patients in the prone position (p<0.001). Tracheal tube cuff pressure, measured by both instrumental methods (manometer) and conventionally, exhibited significant differences at various time points (zero, 15 minutes, 30 minutes, 60 minutes, and 90 minutes) concerning body mass index in prone position patients (p<0.05). Additionally, there was a significant difference in tracheal tube cuff pressure based on the duration of surgery (p<0.05), with the highest cuff pressure reported in patients with a surgical duration of 2 hours or more in the prone position.
Conclusion: The study results underscore that tracheal tube cuff pressure measured by the instrumental method (manometer) was consistently lower than that measured by the conventional method in patients placed in the prone position
Methods: This prospective analytical descriptive study involved 60 patients undergoing lumbar disc surgery in the prone position. Tracheal tube cuff pressure was initially recorded in the supine position using both the conventional manual method and the manometric method. Following the prone positioning of the patient, the cuff pressure was immediately recorded and adjusted by manometry. Subsequent recordings were made every 15 minutes until the conclusion of the surgery, using only the manometric method. Data analysis employed descriptive statistics, including mean and percentage, as well as relevant statistical tests such as repeated measurement and ANOVA using SPSS version 16 software.
Results: Significant differences were observed in tracheal tube cuff pressure measurements between the two instrumental (manometer) and conventional methods in patients in the prone position (p<0.001). Tracheal tube cuff pressure, measured by both instrumental methods (manometer) and conventionally, exhibited significant differences at various time points (zero, 15 minutes, 30 minutes, 60 minutes, and 90 minutes) concerning body mass index in prone position patients (p<0.05). Additionally, there was a significant difference in tracheal tube cuff pressure based on the duration of surgery (p<0.05), with the highest cuff pressure reported in patients with a surgical duration of 2 hours or more in the prone position.
Conclusion: The study results underscore that tracheal tube cuff pressure measured by the instrumental method (manometer) was consistently lower than that measured by the conventional method in patients placed in the prone position
Article number: 21
Type of Study: Research |
Subject:
Neurotrauma
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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