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- W2747202343 abstract "Compared with saline-filled cuffs, Soares et al. demonstrated that tracheal tube cuffs filled with alkalinised lidocaine reduced postoperative sore throat (POST) in children 1, a common adverse effect of tracheal intubation 2. We would like to ask some questions about their methodology. Could the authors comment on which airway instruments (oropharyngeal airway, laryngoscopy blade, tracheal tube, suction catheter) were used? Postoperative throat discomfort has been shown to be associated with trauma to the larynx and the pharynx 3, particularly when blood is observed on the instruments used 4. Were a stylet and/or cricoid pressure used, each of which can increase the risk of POST 5-7? Secondly, tracheal cuff pressures were inferred when transduced at the pilot balloon cuff. Using the liquid pressure formula, p = ρgh (p, the pressure exerted by a column of liquid; h, liquid of height; ρ, liquid density; g, the gravitational acceleration), it can be calculated for a size-6 tracheal tube cuff pressure would have been more than 40 cmH2O (29 mmHg) when the pilot balloon pressure was maintained at 20 cmH2O (15 mmHg). Whilst the capillary pressure of tracheal mucosa varies between 25 and 30 mmHg in adults, these values are probably lower in children. How were the authors certain that they maintained cuff pressure <= 20 cmH2O? Finally, the authors used a facial pain scale to quantify POST. How did they distinguish that POST was the source of any pain in each case, rather than other causes?" @default.
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- W2747202343 date "2017-08-14" @default.
- W2747202343 modified "2023-10-12" @default.
- W2747202343 title "Lidocaine-filled tracheal tube cuffs and sore throat" @default.
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- W2747202343 doi "https://doi.org/10.1111/anae.14005" @default.
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