title: The effect of cuff pressure on postoperative sore throat after Cobra perilaryngeal airway.
abstract: OBJECTIVE
  The cuff volume of the Cobra perilaryngeal airway (CobraPLA) is larger than that of other alternative airway devices and makes it difficult to predict the effect of cuff pressure on the perilaryngeal mucosa. We tested the hypothesis that adjustment of the cuff pressure of the CobraPLA could reduce the incidence of postoperative sore throat (POST).
  
  
  METHODS
  After induction of general anesthesia and insertion of the CobraPLA by standardized method, the cuff pressure was set to 60 cmH(2)O (group C, n = 87) or adjusted to minimal seal-up pressure +5 cmH(2)O (group A, n = 87). The frequency and severity (0, none; 1, mild; 2, moderate; 3, severe) of throat soreness, pain, discomfort, and adverse effects were evaluated 1 and 24 h after removal of the CobraPLA.
  
  
  RESULTS
  Incidence of moderate POST in group C was higher than that in group A (11% vs. 2%, P = 0.021) whereas the overall POST incidence was not different between the two groups (31% vs. 20%, P = 0.092). The inflated air volume of group A was different from that of group C (41 vs. 50 ml, P = 0.009).
  
  
  CONCLUSIONS
  Adjustment of cuff pressure reduces the incidence of moderate POST after use of the CobraPLA.
authors: Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, San 5, Wonchon-dong, Yeongtong-gu, Suwon 442-721, Korea.
authors: Han Bum
authors: HB
authors: Joe
authors: Dae Hee
authors: DH
authors: Kim
authors: Yun Jeong
authors: YJ
authors: Chae
authors: Jong Yeop
authors: JY
authors: Kim
authors: Min
authors: M
authors: Kang
authors: Kwan Sik
authors: KS
authors: Park
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D017214:Laryngeal Masks / Q000009:adverse effects*; D008297:Male; D010612:Pharyngitis / Q000209:etiology*; D011175:Positive-Pressure Respiration / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D011184:Postoperative Period; D011312:Pressure