A comparison between effectiveness and safety of endotracheal tube cuff filled with air, plain lignocaine and alkalinized lignocaine for postoperative sore throat and emergence phenomena.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Aim: The aim of this study was to evaluate the effectiveness and safety of endotracheal tube cuffs filled with air,plain lignocaine and alkalinized lignocaine during general anesthesia and evaluate clinical symptoms such as pain,coughing,restlessness and postoperative sore throat following tracheal extubation. Materials and Methods:This was a prospective randomized controlled study conducted in a tertiary care hospital over a period of 2 year. We included 90 patients in age group of 20-60 years posted for elective surgeries of duration 2-5 hrs under general anesthesia. Patients were randomized using computer generated randomization table into air, plain lignocaine group and alkalinized lignocaine group. The endotracheal tube cuff was inflated with air or plain and alkalinized lignocaine to the volume that prevented air leak using cuff pressure manometer. After extubation, observer blinded to study group recorded the presence or absence of coughing,pain,restlessness and postoperative sore throat at immediately, 1 h and 24 h postoperatively. Results: Incidence of coughing,pain,restlessness and postoperative sore throat(POST) at immediately, 1 h and 24 h postoperatively was significantly higher in air group compared to lignocaine group and was lowest in alkalinized lignocaine group which was statistically significant. Conclusion: Alkalinized lignocaine filled endotracheal cuffs are safer than conventional air or plain lignocaine filled endotracheal cuffs as it produces less coughing,pain,restlessness and sore throat postoperatively. Key words: Endotracheal, Sore throat. Cough. Lignocaine. Alkalinized
Authors and Affiliations
Prof. Prativa Panda
Keywords
Related Articles
- EP ID EP505206
- DOI -
- Views 121
- Downloads 0
Comparative Evaluation of Intubating Conditions and Haemodynamic Effects after the Administration of Succinylcholine and Rocuronium Bromide.
Background: Suxamethonium has been the gold standard depolarizing muscle relaxant for rapid sequence enotracheal intubation. Due to its many side effects, like, muscular fasciculations, bradycardia, dysrhythmia, hyperka...
Developmental Stages of Permanent Mandibular Second Molars in 12 Year Old North Indian Population
The aim of this study was to investigate developmental stages of permanent mandibular second molars in 12 year old North Indian population by means of CT scans. The teeth were scanned and stage of development was assesse...
Comparative Study of Breast lumps by Fine Needle Aspiration Cytology and Core Needle Biopsy
Breast is the most common site of various lesions that presents as palpable breast lumps including benign, inflammatory and malignant causes. Now a day’s incidence of breast cancer is increasing at its pace causing incre...
To Evaluate The Clinical And Electrophysiological Aspects of Guillain Barre Syndrome In PBM Hospital Bikaner In Children Age Group.
Background: Guillian Barre Syndrome (GBS) is an acute, frequently severe and fulminant polyradiculoneuropathy that is autoimmune in nature, involving mainly motor but also sensory and sometimes autonomic nerves. Methods:...
Comparative Study of Fine Needle Aspiration Cytology and Cell Block Technique in Lymphadenopathy
Lymphadenopathy is recognized as a common sign of infectious, autoimmune, or malignant disease. Most of the times, infection is the main cause of lymphadenopathy but proper treatment can be persuaded by exact diagnosis....