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Effect of Endotracheal Tube Cuff Pressure Management on Postoperative Sore Throat in Pediatric Laparoscopic Appendectomy

RecruitingNAAges 6 Years - 18 YearsAllAnkara Etlik City Hospital
NCT07678086 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Abstract Objective: The aim of this study is to compare two different ways of adjusting the air-filled cushion (cuff) of the breathing tube used during general anesthesia in children undergoing laparoscopic appendectomy (closed surgery for appendicitis). The goal is to see if maintaining the pressure in this cushion within a safe, specific range (15-18 mmHg) helps prevent or reduce sore throat, hoarseness, and discomfort, which are common postoperative complications in children. Study Design: This is a prospective, randomized, controlled study. Sixty children aged 6 to 18 years scheduled for laparoscopic appendectomy will be included. Participants will be randomly assigned to two equal groups: Group A (Control Group): Breathing tube cuff pressure is adjusted using the standard "feeling" (finger palpation) method common in routine practice. Group B (Intervention Group): Breathing tube

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📋 Eligibility rules (as published)
Inclusion Criteria: * Pediatric patients aged 6-18 years * Patients with ASA physical status classification I-III * Patients scheduled for laparoscopic appendectomy * Voluntary written informed consent from the patient's legal guardian/parent after being informed in detail about the purpose and method of the study.. Exclusion Criteria: * Patients under 6 years of age * Patients with ASA IV or higher * Patients with preoperative sore throat * Patients who have not completed the preoperative fasting period * Patients who received intraoperative nasogastric tube * Patients who received intraoperative N₂O * Patients with complicated appendicitis diagnosis * Patients who underwent two or more intubation attempts * Patients with surgery duration longer than 2 hours * Patients with predicted or likely airway difficulties * Patients who underwent conversion from intraoperative laparoscopy to laparotomy * Presence of tracheal pathology * Congenital anomalies affecting the airway * Presence of known upper/lower respiratory tract disease * Patients requiring planned postoperative mechanical ventilation * Patients in shock * Patients with decompensated heart failure or respiratory failure * Patient or legal representative's refusal to participate in the study * Patients with a history of smoking
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What it tests

  • Pressure Transducer
  • Traditional Palpation Method
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Where

1 site
Ankara Etlik City Hospital
Ankara, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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