The effect of the cytoreductive surgery and hyperthermic intraperitoneal chemotherapy procedure on endotracheal tube cuff pressure
Joint Authors
Mahran, Isam
al-Sayyid, Muhammad
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 7, Issue 3 (31 Dec. 2014), pp.367-369, 3 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2014-12-31
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Topics
Abstract EN
Objective The cytoreductive surgery and hyperthermic intraperitoneal chemotherapy ( HIPEC) procedure is a relatively new modality in treatment that can benefi t many abdominal cancer patients.
This lengthy procedure has many steps with many anesthesia challenges.
One of the challenges that we studied is the effect of this procedure on endotracheal tube (ETT) cuff pressure.
Patients and methods After obtaining ethical approval, 25 patients of both sexes, ASA I and II, Mallampati I and II, who had undergone this surgery in our institute from 1 June 2013 to 1 October 2013 were enrolled in this study.
In each patient, we measured the ETT cuff pressure fi ve times, at the following time points: (a) immediately after intubation; (b) at the end of cytoreduction before the start of HIPEC; (c) at the end of HIPEC; (d) immediately before transfer to ICU; and (e) in the ICU immediately before extubation.
Everytime, we reduced the cuff pressure (if higher) to 35 cmH2O using a Portex manometer.
Statistical analyses were performed using SPSS version 17.
Continuous variables were analyzed as mean ± SD or median (range) as appropriate.
Rates and proportions were calculated for categorical data.
Differences among the pressure of the ETT cuff over time were analyzed by analysis of variance test using the generalized linear model methodology, whereas a pairwise comparison was performed by the Bonferroni post-hoc test adjusted for multiplicity.
P values less than or equal to 0.05 were considered signifi cant.
Results Pairwise comparisons between the ETT cuff pressure performed by the Bonferroni post-hoctest showed a signifi cant difference between the ETT cuff pressure at all measured time points (P < 0.005).
Conclusion The cytoreductive surgery and HIPEC procedure has a signifi cant effect on the ETT cuff pressure.
We recommend close and frequent monitoring of the ETT cuff pressure during the steps of this major procedure.
American Psychological Association (APA)
Mahran, Isam& al-Sayyid, Muhammad. 2014. The effect of the cytoreductive surgery and hyperthermic intraperitoneal chemotherapy procedure on endotracheal tube cuff pressure. Ain Shams Journal of Anesthesiology،Vol. 7, no. 3, pp.367-369.
https://search.emarefa.net/detail/BIM-652301
Modern Language Association (MLA)
Mahran, Isam& al-Sayyid, Muhammad. The effect of the cytoreductive surgery and hyperthermic intraperitoneal chemotherapy procedure on endotracheal tube cuff pressure. Ain Shams Journal of Anesthesiology Vol. 7, no. 3 (Sep. / Dec. 2014), pp.367-369.
https://search.emarefa.net/detail/BIM-652301
American Medical Association (AMA)
Mahran, Isam& al-Sayyid, Muhammad. The effect of the cytoreductive surgery and hyperthermic intraperitoneal chemotherapy procedure on endotracheal tube cuff pressure. Ain Shams Journal of Anesthesiology. 2014. Vol. 7, no. 3, pp.367-369.
https://search.emarefa.net/detail/BIM-652301
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 369
Record ID
BIM-652301