Intracuff tracheal tube pressure difference between supine and prone position in intubated patients in the operating room; [Разница давлений внутритрахеальной трубки в положении лежа на спине и на животе у интубированных пациентов при оперативном вмешательстве]

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Laksono Buyung Hartiyo, R. Vitraludyono, S.H. Santoso, A.Z. Fatoni

2025 Clinical and Experimental Surgery Vol. 13 Issue 1 Article Cited by 0 Quartile

Abstract

Aim. This study’s aim is to investigate the impact of supine and prone positioning changes on ETT pressure of intubated patients in the operating room. Patients and methods. Thirty patients aged 18–65 who underwent surgery under general anesthesia were selected for the study. After endotracheal intubation, cuff ETT is developed with minimal occlusive volume techniques. ETT is placed on the right side of the mouth. Changes in ETT intracuff pressure are assessed in supine and prone positions. Result. A statistically significant variance in intracuff pressure was observed between supine and prone positions (p=0.000), shifting from 24.70±1.15 to 26.17±0.98 cm H2O. Employing a minimal occlusive volume method with an inflation volume of 10 cc can increase ETT intracuff pressure within the range of 23 to 28 cm H2O (with the normal range being 20–30 cm H2O). Conclusion. ETT intracuff pressure was significantly higher after the position change from the supine to the prone position. All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license) https://creativecommons.org/licenses/by/4.0/deed.en

Affiliations

Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University, Saiful Anwar General Hospital, Malang, 65145, Indonesia