Effect of using the Suction Above Cuff Endotracheal Tube (SACETT) on postoperative respiratory complications in rhinoplasty: a randomized prospective controlled trial
Received 7 January 2019
Accepted for publication 23 March 2019
Published 17 April 2019 Volume 2019:15 Pages 571—577
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Amy Norman
Peer reviewer comments 2
Editor who approved publication: Professor Garry Walsh
Nureddin Yuzkat,1 Canser Yilmaz Demir2
1Department of Anesthesiology and Reanimation, Faculty of Medicine, Van Yuzuncu Yıl University, Van, Turkey; 2Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Van Yuzuncu Yıl University, Van, Turkey
Background: The Suction Above Cuff Endotracheal Tube (SACETT) has a dorsal port above the cuff designed to enable the continuous or intermittent suctioning of secretions from the subglottic space. Thus, it facilitates the suctioning of excessive secretions above the cuff and around the glottis.
Objectives: In this study, we investigated the effect of the using the SACETT on laryngospasm and postoperative complications in rhinoplasty operations.
Methods: This randomized controlled clinical trial enrolled 132 patients undergoing rhinoplasty. The patients were randomly divided into two groups: Suction above Cuff Endotracheal Tube (n=66; Group SA) and classic endotracheal tube (n=66; Group C). Complications following general anesthesia were statistically analyzed among the two groups.
Results: The incidence of postoperative laryngospasm (p=0.02) and respiratory complications was found to be lower in Group SA than in Group C. In addition, the incidence of agitation (p=0.035), postoperative nausea, and vomiting (PONV) (p=0.041), which required antiemetic drug administration, swallowing difficulty (p=0.012), and sore throat (p=0.027) were found to be lower in Group SA than in Group C.
Conclusion: We suggest that using the SACETT in rhinoplasty reduces the incidence of postoperative respiratory complications as well as the incidence of agitation, sore throat, swallowing difficulty, and PONV.
Clinical Trial Number: NCT03584503
Keywords: general anesthesia, laryngospasm, postoperative complications, rhinoplasty, suction above cuff endotracheal tube
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