Effects of body position and cuffed endotracheal tube position on intracuff pressure during tonsillectomy in pediatric patients
10.3760/cma.j.issn.0254-1416.2017.07.007
- VernacularTitle:患儿扁桃体切除术中体位和气管导管位置对套囊压力的影响
- Author:
Xianming ZENG
;
Wangming LI
;
Hailong ZHANG
;
Xiao ZHOU
;
Shuyong TIAN
;
Shanshan LI
;
Yanjie HU
;
Ying ZHANG
;
Guiming QI
- Keywords:
Child;
Tonsillectomy;
Intubation,intratracheal;
Posture;
Pressure
- From:
Chinese Journal of Anesthesiology
2017;37(7):792-795
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of body position and cuffed endotracheal tube (cETT) position on the intracuff pressure during tonsillectomy in the pediatric patients.Methods Sixty pediatric patients,aged 3-12 yr,scheduled for elective tonsillectomy under general anesthesia,were divided into group A and group B using a random number table,with 30 patients in each group.The cETTs were placed on one side of the blade of Davis retractor in group A.The cETTs were placed between the blade of Davis retractor and the body of tongue in group B.The intracuff pressure was recorded when the head was in the neutral position (T1),after changing to the head back position (T2) and when the retractor was placed for operation (T3).Results The intracuff pressure was significantly higher at T2 than at T1 in the two groups (P＜0.01).The intracuff pressure was significantly higher at T3 in group A and lower at T3 in group B than at T2 (P＜0.01).Compared with group A,the intracuff pressure was significantly decreased at T3 (P＜0.01),and no significant change was found in the intracuff pressure at T1,2 in group B (P＞0.05).Conclusion The intracuff pressure is affected by body position and cETT position during tonsillectomy in the pediatric patients,and routine monitoring of the intracuff pressure is recommended.
