Dynamics of endotracheal tube cuff pressure during general anesthesia with xenon in children in outpatient dental practice

Khaliullin D.M.; Lazarev V.V.

doi:https://doi.org/10.17116/anaesthesiology202503150

Khaliullin D.M.

Dental Forte Elite LLC

ORCID: 0000-0003-2771-3134

Lazarev V.V.

Pirogov Russian National Research Medical University;
Voino-Yasenetsky Scientific Practical Center of Specialized Pediatric Medical Care

ORCID: 0000-0001-8417-3555

Dynamics of endotracheal tube cuff pressure during general anesthesia with xenon in children in outpatient dental practice

Authors:

Khaliullin D.M., Lazarev V.V.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2025;(3): 50‑54

DOI: 10.17116/anaesthesiology202503150

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To cite this article:

Khaliullin DM, Lazarev VV. Dynamics of endotracheal tube cuff pressure during general anesthesia with xenon in children in outpatient dental practice. Russian Journal of Anesthesiology and Reanimatology. 2025;(3):50‑54. (In Russ.)
https://doi.org/10.17116/anaesthesiology202503150

Использование инфографики авторами научных работ

BACKGROUND

Excessive or insufficient pressure in the endotracheal tube (ETT) cuff is one of the factors of possible complications after general anesthesia in pediatric outpatient dental practice.

OBJECTIVE

To evaluate the dynamics of endotracheal tube cuff pressure during general anesthesia with xenon in outpatient dental practice.

MATERIAL AND METHODS

An open prospective randomized study included 53 children (17 girls, 36 boys). Of these, 19 children were fitted with ETT Apexmed, 17 children — ETT Integral, 17 children — ETT Oxytec B. In all cases, polyvinyl chloride ETTs of appropriate size with high-volume low-pressure cuffs were used. Statistical processing was performed in the Statistica 10 program.

RESULTS

Comparing the endotracheal tube cuff pressure after intubation and before extubation, we found no significant between-group and within-group differences.

CONCLUSION

In case of general anesthesia with xenon in outpatient dental practice, endotracheal tube cuff pressure does not significantly change regardless of manufacturer and time of anesthesia.

Keywords:

outpatient anesthesiology

xenon

children

endotracheal tube cuff

Authors:

Khaliullin D.M.

Dental Forte Elite LLC

ORCID: 0000-0003-2771-3134

Lazarev V.V.

Pirogov Russian National Research Medical University;
Voino-Yasenetsky Scientific Practical Center of Specialized Pediatric Medical Care

ORCID: 0000-0001-8417-3555

Received:

13.05.2024

Accepted:

12.11.2024

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References:

Durbin CG Jr, Bell CT, Shilling AM. Elective intubation. Respiratory Care. 2014;59(6):825-846. https://doi.org/10.4187/respcare.02802
Mutiara G, Suwarman S, Sitanggang RH. Comparison of the accuracy of Endotracheal Tube balloon pressure measurement after intubation between the palpation method on the balloon Pilot and the technique of passively removing the syringe. Jounal Anestesi Perioperatif. 2016;3(3):155-164. https://doi.org/10.15851/jap.v3n3.608
Jain MK, Tripathi CB. Endotracheal tube cuff pressure monitoring during neurosurgery-Manual vs. automatic method. Journal of Anaesthesiology, Clinical Pharmacology. 2011;27(3):358. https://doi.org/10.4103/0970-9185.83682
Park JH, Lee HJ, Lee SH, Kim JS. Changes in tapered endotracheal tube cuff pressure after changing position to hyperextension of neck: A randomized clinical trial. Medicine (Baltimore). 2021;100(29):e26633. https://doi.org/10.1097/MD.0000000000026633
Shaikh F, Janaapureddy YR, Mohanty S, Reddy PK, Sachane K, Dekate PS, Yerra A, Chirla D. Utility of Endotracheal Tube Cuff Pressure Monitoring in Mechanically Ventilated (MV) Children in Preventing Post-extubation Stridor (PES). Indian Journal of Critical Care Medicine. 2021;25(2):181-184. https://doi.org/10.5005/jp-journals-10071-23737
Rello J, Soñora R, Jubert P, Artigas A, Rué M, Vallés J. Pneumonia in intubated patients: role of respiratory airway care. American Journal of Respiratory Critical Care Medicine. 1996;154(1):111-115. https://doi.org/10.1164/ajrccm.154.1.8680665
Saracoglu A, Saracoglu KT, Canaz H, Kafali H, Lerman J. Changes in the cuff pressure in neonates in the absence of nitrous oxide. Anaesthesiology and Intensive Therapy. 2022;54(2):127-131. https://doi.org/10.5114/ait.2022.114485
Edward Morgan G, Michail MS, Muray MJ. Clinical Anesthesiology. 4th Edn. Lange; New York: 2006:206-208.
Raeder JC, Borchgrevink PC, Sellevold OM. Tracheal tube cuff pressures. The effects of different gas mixtures. Anaesthesia. 1985;40(5):444-447.
Atalay C, Aykan Ş, Can A, Doğan N. Tracheal Rupture due to Diffusion of Nitrous Oxide to Cuff of High-Volume, Low-Pressure Intubation Tube. The Eurasian Journal of Medicine. 2009;41(2):136-139.
Sanginov AB, Mosin IV, Mosina NV. Etiology and pathogenesis of cicatricial tracheal stenosis. Vestnik Avitsenny. 2010;1:33-38. (In Russ.).
Kim JH, Ahn JH, Chae YJ. Pediatric Application of Cuffed Endotracheal Tube. The Western Journal of Emergency Medicine. 2023;24(3):579-587. https://doi.org/10.5811/westjem.59560
De Orange FA, Andrade RG, Lemos A, Borges PS, Figueiroa JN, Kovatsis PG. Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under. The Cochrane Database of Systematic Reviews. 2017;11(11):CD011954. https://doi.org/10.1002/14651858.CD011954.pub2
Dullenkopf A, Gerber AC, Weiss M. Fit and seal characteristics of a new paediatric tracheal tube with high volume-low pressure polyurethane cuff. Acta Anaesthesiologica Scandinavica. 2005;49(2):232-237. https://doi.org/10.1111/j.1399-6576.2005.00599.x
Van de Voorde P, Turner NM, Djakow J, de Lucas N, Martinez-Mejias A, Biarent D, Bingham R, Brissaud O, Hoffmann F, Johannesdottir GB, Lauritsen T, Maconochie I. European Resuscitation Council Guidelines 2021: Paediatric Life Support. Resuscitation. 2021;161:327-387. https://doi.org/10.1016/j.resuscitation.2021.02.015
Letvin A, Kremer P, Silver PC, Samih N, Reed-Watts P, Kollef MH. Frequent Versus Infrequent Monitoring of Endotracheal Tube Cuff Pressures. Respiratory Care. 2018;63(5):495-501. https://doi.org/10.4187/respcare.05926
Park S, Kwon YI, Kim HJ. Pressure changes in the endotracheal tube cuff in otorhinolaryngologic surgery: a prospective observational study. Frontiers in Medicine. 2023;10:1161566. https://doi.org/10.3389/fmed.2023.1161566
Wani TM, Bissonnette B, Engelhardt T, Buchh B, Arnous H, AlGhamdi F, Tobias JD. The pediatric airway: Historical concepts, new findings, and what matters. International Journal of Pediatric Otorhinolaryngology. 2019;121:29-33. https://doi.org/10.1016/j.ijporl.2019.02.041
Raeder JC, Borchgrevink PC, Sellevold OM. Tracheal tube cuff pressures. The effects of different gas mixtures. Anaesthesia. 1985;40(5):444-447.
Liu J, Zhang X, Gong W, Li S, Wang F, Fu S, Zhang M, Hang Y. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study. Anesthesia and Analgesia. 2010;111(5):1133-1137. https://doi.org/10.1213/ANE.0b013e3181f2ecc7
Zaytsev AYu, Teplykh BA, Aliev VA, Boyarkov AV, Kuzovlev AN, Lapin OV, Semenov SV. Anesthesia for adults in outpatient surgery. Russian Journal of Anesthesiology and Reanimatology. 2024;(2):6-31. (In Russ.). https://doi.org/10.17116/anaesthesiology20240216