Comparison of Cuffed vs. Uncuffed Endotracheal Intubation efficacy in Cleft Palate Surgery procedure in children

Abstract

Background: From several decades, in case of pediatric oral surgeries, Uncuffed endotracheal tubes are preferred due to insufficient availability of evidences, Aim: To compare morbidity post-operatively after using uncuffed and cuffed endotracheal tubes in case of children undergoing surgery of cleft lip-palate. Methods: This study was carried out on children aging from 3 to 10 years. About 40 candidates participated and divided into two groups according to the list generated via computer. The comparison was made between sore throat, extubation stridor, regaining of normal voice and first oral intake postoperatively between two members of groups. Results: In case of uncuffed group of candidates, the sore throat was evident more P value > 0.005 as compared to members belonging to cuffed group postoperatively . In case of cuffed members, regaining normal voice and first oral intake was earlier significantly as compared to members belonging to uncuffed. Conclusion: Cuffed Et depicted lesser prevalence of sore throat as compared to members belonging to uncuffed , after following standard protocols .Moreover, regaining of normal voice as well as first oral intake was also earlier in case of uncuffed group as compared to cuffed group postoperatively. Keywords: Cleft palate, cuffed, postoperative morbidity, preformed tracheal, uncuffed

Commentary: Comparative efficacies of various corticosteroids for preventing postextubation stridor and reintubation: a systematic review and network meta-analysis

“…At the same time, we found two studies on extubation position and bloodletting acupuncture interesting, both of which showed that extubation in the lateral position may reduce the probability of postoperative dyspnea (3,4,8).…”