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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. Tracheal Tube Cuff Pressure Measurement Methods in
Lumbar Disc Surgery. 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: (707 Views)
Background and Aim: Accurate tracheal tube cuff pressure measurement is crucial to prevent complications in patients undergoing mechanical ventilation. However, manual inflation methods, which are still commonly used in clinical practice, may lead to inaccurate cuff pressure measurements, compromising patient safety. Therefore, this study aims to compare the accuracy of manual and manometric methods for tracheal tube cuff pressure measurement in patients undergoing lumbar disc surgery in the prone position and to assess the safety implications of manual inflation methods.
Methods and Materials/Patients: This prospective analytical descriptive study was conducted on 60 patients undergoing lumbar disc surgery in the prone position. Tracheal tube cuff pressure was initially recorded in the supine position using both the 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 were analyzed using descriptive statistics, including mean and percentage, as well as relevant statistical tests, such as repeated measurement and analysis of variance (ANOVA) using SPSS software, version 16.
Results: Significant differences were observed in tracheal tube cuff pressure measurements between the two instrumental (manometer) and manual methods in patients in the prone position (P<0.001). Tracheal tube cuff pressure, measured by both instrumental (manometer) and manual methods, 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, a significant difference was observed 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 showed that tracheal tube cuff pressure measured by the instrumental method (manometer) was consistently lower than that measured by the manual method in patients placed in the prone position. Therefore, the manual approach may cause safety issues for patients.
Methods and Materials/Patients: This prospective analytical descriptive study was conducted on 60 patients undergoing lumbar disc surgery in the prone position. Tracheal tube cuff pressure was initially recorded in the supine position using both the 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 were analyzed using descriptive statistics, including mean and percentage, as well as relevant statistical tests, such as repeated measurement and analysis of variance (ANOVA) using SPSS software, version 16.
Results: Significant differences were observed in tracheal tube cuff pressure measurements between the two instrumental (manometer) and manual methods in patients in the prone position (P<0.001). Tracheal tube cuff pressure, measured by both instrumental (manometer) and manual methods, 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, a significant difference was observed 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 showed that tracheal tube cuff pressure measured by the instrumental method (manometer) was consistently lower than that measured by the manual method in patients placed in the prone position. Therefore, the manual approach may cause safety issues for patients.
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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