Airway management

Decreasing the pressure of endotracheal tube cuff slowly with a constant speed can decrease coughing incidence during extubation: a randomized clinical trial

Perioper Med (Lond)Published Randomised controlled trial

Authors' conclusion

Decreasing the pressure of endotracheal tube cuff slowly with a constant speed can significantly reduce the incidence of coughing during extubating period, stabilize hemodynamics, and reduce the incidence of adverse reactions.

Study context

Population
Patients undergoing elective noncardiac surgery under GA with endotracheal intubation
Participants
90 patients
Comparison
P vs C
Primary endpoint
Incidence of coughing during extubation period

Primary result

As reported in the abstract

Incidence of coughing during extubation
  • Coughing incidence significantly decreased in P vs C
  • Coughing initiated immediately at time of balloon deflation
  • P vs C: P = 0.001

Further findings

OutcomeP value
MAP and HR · MAP T2-T4; HR T2-T5P < 0.05 for all
  • Mean arterial pressure (MAP) and HR: MAP significantly decreased at T2-T4 and HR at T2-T5 in group P

Safety

OutcomeP value
Pharyngolaryngeal discomfort after extubationSignificantly reduced in group PP = 0.021

Original publication

Decreasing the pressure of endotracheal tube cuff slowly with a constant speed can decrease coughing incidence during extubation: a randomized clinical trial. Perioper Med (Lond). Published 30 September 2024. doi:10.1186/s13741-024-00450-3

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