복강경하 자궁적출술 시 기관내튜브 기낭팽창법 중 공기풍선촉진법과 최소기낭용적팽창법이 수술 후 인후통에 미치는 효과 비교 (Comparison of postoperative sore throat due to cuff inflation of the endotracheal tube using the pilot balloon palpation technique and the minimally occlusive volume technique during total laparoscopi)

서지정보

· 발행기관 : 대한마취통증의학회
· 수록지 정보 : Anesthesia and Pain Medicine / 6권 / 4호 / 380 ~ 384페이지
· 저자명 : 최연희, 지성미, 윤석화, 박상일

초록

Background: Inadequate tube cuff inflation during tracheal intubation can cause complications. Laparoscopic surgery requiring Trendelenburg positioning and maintaining pneumoperitoneum can also result in complications. The focus of our study was to compare the connection between postoperative sore throat and pressure changes associated with methods involving cuff inflation.
Methods: Sixty gynecologic patients undergoing laparoscopic surgery were subjected to the study. The patients were divided into two groups, P and M. Endotracheal tube cuffs were inflated with the pilot balloon palpation technique in group P, while cuffs in group M were inflated with the minimally occlusive volume technique. Cuff pressures were measured with a portable manometer after intubation and before reversing muscle relaxation.
Anesthesia was maintained with sevoflurane and N2O. Postoperative sore throat and voice changes were recorded from the PACU until one day after surgery.
Results: Initial and final cuff pressure in group P was significantly higher than group M (P ＜ 0.05). Frequency of sore throat and voice change both in the PACU and one day after surgery were higher in group P. Sore throat in group P in the PACU showed higher frequency of grade 2 and 3 than group M.
Conclusions: Minimally occlusive volume technique caused less of an increase in cuff pressure than the pilot balloon palpation technique, resulting in less complications such as sore throat.
Therefore, this technique is helpful in reducing postoperative sore throat and complications during laparoscopic surgery. However, it is noted that these assumptive methods are less accurate than direct measurement with a manometer.

영어초록

Background: Inadequate tube cuff inflation during tracheal intubation can cause complications. Laparoscopic surgery requiring Trendelenburg positioning and maintaining pneumoperitoneum can also result in complications. The focus of our study was to compare the connection between postoperative sore throat and pressure changes associated with methods involving cuff inflation.
Methods: Sixty gynecologic patients undergoing laparoscopic surgery were subjected to the study. The patients were divided into two groups, P and M. Endotracheal tube cuffs were inflated with the pilot balloon palpation technique in group P, while cuffs in group M were inflated with the minimally occlusive volume technique. Cuff pressures were measured with a portable manometer after intubation and before reversing muscle relaxation.
Anesthesia was maintained with sevoflurane and N2O. Postoperative sore throat and voice changes were recorded from the PACU until one day after surgery.
Results: Initial and final cuff pressure in group P was significantly higher than group M (P ＜ 0.05). Frequency of sore throat and voice change both in the PACU and one day after surgery were higher in group P. Sore throat in group P in the PACU showed higher frequency of grade 2 and 3 than group M.
Conclusions: Minimally occlusive volume technique caused less of an increase in cuff pressure than the pilot balloon palpation technique, resulting in less complications such as sore throat.
Therefore, this technique is helpful in reducing postoperative sore throat and complications during laparoscopic surgery. However, it is noted that these assumptive methods are less accurate than direct measurement with a manometer.

참고자료

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