A COMPARISON CHANGE IN ENDOTRACHEAL TUBE CUFF PRESSURE BETWEEN AIR AND LIDOCAINE AND N2O WITH O2 CUFF INFLATION DURING GENERAL ANESTHESIA

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NASIRI E.; MOHAMADPOR R.; MORTAZAVI YOUSEF; KHORAMI M.

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Journal: JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES Year:2005 | Volume:6 | Issue:14 Page(s): 32-39

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Title

A COMPARISON CHANGE IN ENDOTRACHEAL TUBE CUFF PRESSURE BETWEEN AIR AND LIDOCAINE AND N2O WITH O2 CUFF INFLATION DURING GENERAL ANESTHESIA

Author(s)

NASIRI E. | MOHAMADPOR R. | MORTAZAVI YOUSEF | KHORAMI M. | Issue Writer Certificate

Keywords

CUFF PRESSUREQ3

LIDOCAINEQ3

NITROUS OXIDEQ4

GENERAL ANESTHESIAQ4

TRACHEAL INTUBATIONQ4

Abstract

Background&Objective: The Cuff of the endotracheal tube is securing for Mechanical Ventilation during anesthesia. Diffusion of N2O into the Cuff results in an increase in Cuff pressure. The different method was used for the control of CUFF PRESSURE, but may have difficulty and side effect. This study was to determine whether inflating the ETT Cuff with Air, Lidocain 1% or N2O with O2, prevent the increase in CUFF PRESSURE during N2O Anesthesia. Materials&Methods: In this randomized control trial study after obtating ethics committee 224 patients went understudy, these patients divided in two bloks (Sufe, Roach) and the one of the each blok were randomized into three groups. Group, air LIDOCAINE 1% N2O with O2 difficult intubation and the film anesthesia with less than 30-min were excluded. All patients were similarly anesthetized and performed TRACHEAL INTUBATION. The pilot ballon of the endotracheal tube Cuff was connected to a Japanes pressure manometer. The first pressure was measured immediatly and further reading at 10-minute intervals for 70 minutes. The results were readings analysed using T- test, paired t test, Anova and the Chisquar test. A P-value of <0.05 was considered significant. Results: CUFF PRESSURE increased gradually during anesthesia in-group air but remained stable in group’s LIDOCAINE and N2O with O2. The CUFF PRESSURE had significant differences between the supa and Roach groups in all of the times during anesthesia (P<0.05). Conclusion: Inflating the ETT Cuff with LIDOCAINE 1% or N2O/ oxygen mixtures are methods of keeping intraCUFF PRESSURE stable during N2O anesthesia due to N2O diffusion the Cuff tube causes increase the CUFF PRESSURE. We suggest that continious monitoring of the UCP during anesthesia to be carried out.

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References

THE EFFECT OF INTRACUFF LIDOCAINE ON COUGH, BUCKING AND LARYNGO-SPASM DURING EMERGENCE FROM GENERAL ANESTHESIA

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APA: Copy

NASIRI, E., MOHAMADPOR, R., MORTAZAVI, YOUSEF, & KHORAMI, M.. (2005). A COMPARISON CHANGE IN ENDOTRACHEAL TUBE CUFF PRESSURE BETWEEN AIR AND LIDOCAINE AND N2O WITH O2 CUFF INFLATION DURING GENERAL ANESTHESIA. JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES, 6(14), 32-39. SID. https://sid.ir/paper/79057/en

Vancouver: Copy

NASIRI E., MOHAMADPOR R., MORTAZAVI YOUSEF, KHORAMI M.. A COMPARISON CHANGE IN ENDOTRACHEAL TUBE CUFF PRESSURE BETWEEN AIR AND LIDOCAINE AND N2O WITH O2 CUFF INFLATION DURING GENERAL ANESTHESIA. JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2005;6(14):32-39. Available from: https://sid.ir/paper/79057/en

IEEE: Copy

E. NASIRI, R. MOHAMADPOR, YOUSEF MORTAZAVI, and M. KHORAMI, “A COMPARISON CHANGE IN ENDOTRACHEAL TUBE CUFF PRESSURE BETWEEN AIR AND LIDOCAINE AND N2O WITH O2 CUFF INFLATION DURING GENERAL ANESTHESIA,” JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES, vol. 6, no. 14, pp. 32–39, 2005, [Online]. Available: https://sid.ir/paper/79057/en

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