Özet:

Purpose: High intramuscular pressure during laparoscopic surgery (LS) may increase the endotrakeal tube head pressure in patients. This study was aimed at evaluating the impact of endotrakeal tube cap pressure and alveoler pressure on laringopharyngeal results at different times during laparoscopic and open surgeries. Method: Seventy patients open to our study or LS applied were included. The headache pressure, headache inspired pressure (PIP) and platum pressure values were measured after endotrakeal entubation, after 15, 30, 60 minutes of intramuscular carbon dioxide (CO2) insulation and before extubation. Additionally, all patients were evaluated by a blind observer to the study groups in postoperative 1st, 12th and 24th hours using the visual analog scale (VAS) in terms of throat pain. Results: Patients in the LS group had statistically significantly high head pressure, PIP and P-plato levels (all comparisons for p<0,05) compared to the open surgery (OS) group after 15, 30 and 60 minutes of entubation and before extubation. In postoperative 12 hours, four (10%) patients in the LS group had dysphagia, 11 (30%) patients had coughing. The VAS score for throat pain in the followed periods was significantly higher than the OS group in the LS group in the followed hours (p<0,05 for all comparisons). The prolonged duration of the operation and head pressure at different times were significantly associated with throat pain (p<0,05 for all correlations). Result: In order to maintain the mucous layer of the trakean, the endotrakeal tube head pressure and airway pressure should be monitored, especially in LS.

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