[ comparison change in endotracheal tube cuff pressure between air and Lidocaine and N[2]O with O[2] cuff inflation during general anesthesia]

ABSTRACT

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 N[2]O with O[2], prevent the increase in Cuff pressure during N[2]O nesthesia. 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% N[2]O with O[2] difficult intubation and the film anesthesia with less than 30-min were excluded. All patients were similarly anesthetized and performed tracheal intubation. The pilot balloon of the endotracheal tube Cuff was connected to a Japanese pressure manometer. The first pressure was measured immediately and further reading at 10-minute intervals for 70 minutes. The results were readings analysed using T- test, paired t test, Anova and the Chisquare test. A P-value of <0.05 was considered significant. Cuff pressure increased gradually during anesthesia in-group air but remained stable in group's lidocaine and N[2]O with O[2]. The Cuff pressure had significant differences between the supa and Roach groups in all of the times during anesthesia [P<0.05]. Inflating the ETT Cuff with lidocaine 1% or N[2]O/ oxygen mixtures are methods of keeping intracuff pressure stable during N[2]O anesthesia due to N[2]O diffusion the Cuff tube causes increase the Cuff pressure. We suggest that continuous monitoring of the UCP during anesthesia to be carried out