To assess the impact of personalized ILMA cuff pressure management on postoperative pharyngolaryngeal discomfort in elderly patients compared to empirical inflation methods.
Key Findings:
Cuff pressure was significantly higher in the EI group compared to the RM group (p < 0.001).
Pharyngolaryngeal discomfort occurred in 7.7% of the RM group versus 35.9% in the EI group (p = 0.003).
Mucosal damage was observed in 0% of the RM group compared to 15.4% in the EI group (p = 0.011).
Interpretation:
Tailored cuff pressure management significantly reduces postoperative discomfort and mucosal damage in older adults while maintaining ventilation seal integrity.
Limitations:
Single-center study may limit generalizability.
Sample size may not be sufficient to detect all potential complications.
Potential biases or confounding factors affecting results.
Conclusion:
Personalized cuff pressure adjustment in ILMA use can enhance postoperative outcomes in elderly patients by reducing discomfort and mucosal injury.
