The displacement of the tracheal tube during robot-assisted radical prostatectomy

European Journal of Anaesthesiology
Chul Ho ChangSoon Ho Nam

Abstract

Robot-assisted prostatectomy requires pneumoperitoneum in a steep Trendelenburg position, which may induce endobronchial intubation or accidental extubation. The aim of the study was to evaluate the effect of pneumoperitoneum in 30 degrees Trendelenburg position on the displacement of the tracheal tube and to measure the changes in trachea length using fiberoptic bronchoscope. Thirty male patients scheduled for robot-assisted radical prostatectomy were enrolled. After induction of general anaesthesia, the distance between the vocal cords and the tracheal tube tip (DeltaVE), between the tracheal tube tip and the carina (DeltaEC) and between the vocal cords and the carina (DeltaVC) was measured using a fiberoptic bronchoscope before and 10 min after pneumoperitoneum in neutral position (T1 and T2, respectively), and 2 h after pneumoperitoneum in 30 degrees Trendelenburg position (T3). The DeltaVC and DeltaEC decreased significantly 10 min after pneumoperitoneum in neutral position (T2) and 2 h after pneumoperitoneum in Trendelenburg position (T3) compared with those before pneumoperitoneum in neutral position (T1) (all P < 0.001). The changes in DeltaVE were not statistically significant. The confirmation of the tracheal tube pos...Continue Reading

References

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Citations

Aug 17, 2011·Prostate Cancer and Prostatic Diseases·M A GoldstrawR S Kirby
Sep 19, 2012·Journal of Clinical Anesthesia·Hamdy AwadJerome O'Hara
Nov 1, 2011·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·C ChattiM Rouprêt
Apr 22, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Hyun-Chang KimHee-Pyoung Park
Feb 26, 2014·Korean journal of anesthesiology·Jeong Rim Lee
Mar 8, 2017·Anaesthesia and Intensive Care·S T Herway, J L Benumof
Jun 3, 2015·Khirurgiia·A S KazakovI N Pasechnik
Jul 21, 2012·Anaesthesia and Intensive Care·K GuptaS Khanna

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