A Comparative Study to Study the Difference in Effect between Intracuff Saline, Lidocaine and Alkalinized 2% Lidocaine on Emergence Cough, Sore Throat and Hoarseness
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Targeted delivery of lidocaine to the mucosa in contact with the tracheal tube (ETT) cuff can be used as a method for decreasing tracheal stimuli. The study was conducted to study the benefits by filling the cuff of an endotracheal tube (ETT) with alkalinized lidocaine to prevent postoperative sore throat, cough and hoarseness of voice. The aim of this study was to evaluate the effect of intracuff saline, intracuff lidocaine and intracuff alkalinized 2% lidocaine on emergence coughing, postoperative sore throat, and hoarseness of voice. Material and Methods: We performed a randomized controlled study on 180 patients of ASA I-II status divided into 3 groups of 60 each. ETT cuff was filled with saline, plain lignocaine and alkalinized lignocaine respectively in each group. The degree of coughing, sore throat 1hr and 24 hrs and hoarness of voice after 24hrs were assessed postoperatively. Results: Demographic data and duration of anaesthesia were comparable among study groups (p > 0.05). In Alkalinized lidocaine group, the incidence of emergence coughing was significantly lower presented in only 4 patients (7%) having Grade II and 8 patients (13%) having Grade I out of 60 patients, which was considerably lower in alkalinized lidocaine group with a P value 0.000(≤ 0.01) than saline and plain lignocaine. Conclusion: Inflation of the ETT cuff with alkalinized 2% lidocaine was superior than ETT cuff filled with plain lignocaine and saline in decreasing the incidence of emergence coughing and preventing sore throat and hoarseness during the postoperative period.
Authors and Affiliations
Sagar Jolly, Pravin Ubale
Keywords
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