Abstract

The safety margin of tracheal tube cuff pressure lies between excessive and insufficient pressure. Specifically, insufficient pressure can lead to air leakage, which lessens the effect of mechanical ventilation and results in the leakage of inhalation anesthetics, while excessive pressure can cause serious injury and affect blood flow to the tracheal mucosa, resulting in cough, hoarseness of voice prolonged intubation may cause tracheal stenosis, fistula, or tracheal rupture. Movement of the head and neck and the resulting displacement of the tracheal tube can alter cuff pressure. Material and Methods: We collect this sample size by using purposive sampling method. We select the individual who full fill the inclusion criteria and also give consent for participating in study. Result: In this study 59 (59%) female and 41 (41%) males. This study shows that 20 to 30 ET Cuff Pressure after change in Head and Neck Position in 41 (41%) cases and above 30 ET Cuff Pressure after change in Head and Neck Position in 59 (59%). Conclusion: It has been observed that change in average ETT cuff pressure was in between 6 cm of H2O after every 15 minutes interval, and every time when the ETT cuff pressure was found to be more than 25 cm of H2O, we reduced to within normal limits (25 cm of H2O) with the help of digital manometer. On the basis of the present study we arrived to the following conclusion that repeated reducing of ETT cuff pressure to within normal range (25 cm of H2O) lead to lesser complication of sore throat and hoarseness of voice as compared to the previous studies done for the same. Hence we can conclude that, ETT cuff pressure measuring manometer - (AG Cuffill) is an important tool to regulate ETT cuff pressure during intraoperative period, and it also helps to reduce post-operative complications like sore throat and hoarseness of voice

Description

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