Cuff pressure management during anesthesia for kids having laparoscopic appendectomy

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective, randomized trial compares two methods of managing endotracheal tube cuff pressure in pediatric patients undergoing laparoscopic appendectomy. Group A uses traditional finger palpation to adjust cuff pressure, while Group B uses a pressure transducer to continuously monitor and titrate pressure within a target range of 15-18 mmHg. The goal is to determine if objective monitoring reduces postoperative sore throat, cough, hoarseness, and airway-related complications compared with the conventional palpation method. Sixty children aged 6 to 18 years with ASA I–III are planned for inclusion. Outcomes focus on intraoperative respiratory mechanics and postoperative airway morbidities. The study is sponsored by Ankara Etlik City Hospital and conducted at that institution.

Why it matters

Who can join: the full rules

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

Where it's running

• Ankara Etlik City Hospital
  Ankara, Yenimahalle, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Muhammed Yonucu, MD, Resident in Anesthesiology
• Email: harrenhal61@gmail.com
• Phone: +905535222961

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.