Preventive Care In Nursing and Midwifery Journal

en Tracheal Cuff Pressure Changes and Associated Factors in Children Who Underwent Tonsillectomy at Shafa Polyclinic of Zanjan in the 1399-1400 Period Nursing Orginal research Background: Endotracheal intubation is a common procedure during tonsillectomy in children, and tracheal tube cuff pressure is subject to fluctuation during this surgery due to changes in the position of the head and neck. Unusual changes in the tracheal cuff pressure can cause damage to the airway mucosa, tracheal mucosa ischemia, tracheal stenosis, and pulmonary aspiration. Objectives: The present study was conducted to investigate tracheal tube cuff pressure changes and associated factors during tonsillectomy surgery in children. Methods: This cross-sectional study was conducted on 106 children, 3-8 years of age. In this study, the ideal tracheal tube cuff pressure was designated to be 18 cmH2O and measured at four stages: after tracheal intubation, after changing the position of the head and neck, 15 minutes after intubation, and before extubation. The data was analysed using SPSS Statistics version 26. Frequency (percentage), and mean (standard deviation), as well as Wilcoxon, Friedman, linear regression, and Wald chi-square tests were used for data analysis. Results: The means (standard deviations) of the cuff pressure following intubation, after changing the position of the head and neck, 15 minutes after intubation, and before extubation were 26.69 (6.10), 29.07 (8.39), 29.91 (5.77), and 24.12 (4.72), respectively. The baseline cuff pressure had no statistically significant relationship with age, gender, tube size, BMI, and cuff pressure changes at the 15th minute (P>0.05). The two variables of gender and tube size, but not age and BMI (P>0.05), were significantly correlated with cuff pressure change before extubation compared with baseline cuff pressure (P<0.05), but neither age nor BMI was significantly related to the change in cuff pressure before extubation compared with baseline cuff pressure (P>0.05). Conclusion: Tracheal tube cuff pressure during tonsillectomy in children can increase due to the change of head and neck position, making monitoring of these changes necessary in patients undergoing tonsillectomy. <div dir="rtl"></div> Trachea, Airway Extubation, Cuff Pressure, Tracheal Tube, Pediatrics, Tonsillectomy 26 34 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-891-1&slc_lang=en&sid=1 Hashem Molaei afshinmolaei7@gmail.com 100319475328460013838 100319475328460013838 No Master of Critical Care Nursing, Nursing and midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Mitra Hojat Ansari dr.mitraansari@gmail.com 100319475328460013839 100319475328460013839 Yes faculty of medicine, Department of Critical care Nursing, Nursing and midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Mohammad Reza Dinmohammadi 100319475328460013840 100319475328460013840 No Department of Critical Care Nursing, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Somayeh Abdollahi Sabet drsabet@zums.ac.ir 100319475328460013841 100319475328460013841 No Department of community medicine, faculty of medicine, social Determinants of health research center, Zanjan University of Medical Sciences, Zanjan, Iran