Korean J Anesthesiol.  2006 Mar;50(3):266-271. 10.4097/kjae.2006.50.3.266.

The Effect of Cuff Pressure of Laryngeal Tube on Postoperative Sore Throat after General Anesthesia Using N2O

• Kang H
• Kim KJ
• Baek CW
• Woo YC
• Kim JY
• Park SG

• KMID: 1936725
• DOI: http://doi.org/10.4097/kjae.2006.50.3.266

Abstract

BACKGROUND: The cuff pressure (CP) of the laryngeal tube airway (LTA) increases during general anesthesia using nitrous oxide. However, there have been few studies on the relationship between CP and postoperative sore throat (POST). This study evaluated the efficacy of the CP on a POST on the recovery time and postoperative day.
METHODS
Forty patients were divided into two groups, group M (n = 20) and group I (n = 20). In all patients, the CP was set to 65 cmH2O at the induction of anesthesia. In group M, the CP was maintained at 60-70 cmH2O during general anesthesia using N2O. However, in group I, the CP was allowed to increase. The CP was measured every 10 minutes during surgery in the two groups. The frequency and intensity (numerical rating scale of 0-100, NRS-101) of the sore throat was measured at recovery room (RR) and on postoperative day 1 (POD1).
RESULTS
There was a significant increase in the CP in group I during general anesthesia and the CP was higher in group I than in group M (P < 0.05). The frequency of POST was higher in group I at RR (10% vs 70%) and POD1 (0% vs 35%) than in group M. In addition, the NRS-101 was higher in group I at RR and POD1 than in group M (P < 0.05).
CONCLUSIONS
The CP of the LTA needs to be monitored and controlled during surgery in order to reduce POST.

Keyword

cuff pressure; laryngeal tube; sore throat

MeSH Terms

Anesthesia
Anesthesia, General*
Humans
Nitrous Oxide
Pharyngitis*
Recovery Room
Nitrous Oxide