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This research aims to evaluate the relationship between endotracheal tube (ETT) cuff pressures and airway pressures in obese patients undergoing laparoscopic bariatric surgery. The study focuses on how changes in peak and mean airway pressures may affect ETT cuff pressures during the procedure. The goal is to better understand these pressure changes in the context of laparoscopic bariatric surgery for patients aged 18 to 70 years. Participants will undergo laparoscopic bariatric surgery while their ETT cuff pressures are monitored using a device called a manometer. The study will assess ETT cuff pressures at different stages: immediately after intubation, after intraperitoneal insufflation, after positioning, and after peritoneal exsufflation. The device tracks how the cuff pressures change alongside airway pressures during the surgery. During the study, researchers will measure and record ETT cuff pressures and airway pressures at the specified time points. This monitoring helps evaluate the pressure dynamics throughout the surgery. Participants must be assessed for eligibility based on health status and medical history before joining, and safety is ensured by excluding those with certain medical conditions or urgent surgical needs. The total participation involves the time during surgery when these measurements are taken.