Anesthesia Intubation Complication Clinical Trial
Official title:
Comparison of Tapered- vs. Cylindrical-shaped Tube Cuffs Pressure Alteration With Nitrous Oxide Diffusion Under General Anesthesia
When using nitrous oxide for general anesthesia, nitrous oxide diffusion induces intracuff
hyperinflation of the endotracheal tube. Furthermore the difference among various types of
cuffed endotracheal tubes in cuff pressure behavior during nitrous oxide exposure.
TaperGuard(TM) tube has been newly introduced and has tapered-shape cuff. In vitro study,
the intracuff pressure of TaperGuard(TM) tube was lower than that of conventional tube with
cylindrical-shaped cuff of the conventional tube(Hi-Lo(TM) tube). Therefore, this clinical
study is needed to evaluate the intracuff pressure during general anesthesia with nitrous
oxide exposure.
During 60 minutes after routine anesthetic induction and intubation of the endotracheal
tubes, intracuff pressures will be measured every 10 minutes with a manometer (VBM, Sulz,
Germany).
60% nitrous oxide will be added at time 0. For 60 minutes from the beginning of general
anesthesia, intracuff pressures will be measured every 10 minutes.
After 60 minutes, Intracuff pressures will be maintained around 20 cm H2O during the
remaining period of the surgery.
The questionnaire for a sore throat, hoarseness, and dysphagia will be questioned at about
1, 6, and 24 hours after the surgery and the general anesthesia.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
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