A Prospective Study of IV Dexamethasone in Reducing Post-Op Cough Hoarseness and Sore Throat in Patients undergoing Microvascular Reconstruction Surgery

Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 8

Abstract

Microvascular reconstruction surgery operated for more than 5 hours duration under general anaesthesia with endotracheal intubation is challenging to the anaesthesiologist. Post op cough, hoarseness and sorethroat are side effects, causing dissatisfaction to the patient and can prolong recovery time. Materials and Methods: Our prospective study of sixty patients was randomized into two groups of thirty each. Group D patients received iv dexamethasone 8 mg and group N patients received normal saline 2 ml after intubation. Postop cough, sore throat and hoarseness will be noted immediate after extubation, 30 minutes, one hour and twenty fours post extubation. Results: The incidence of postop cough was lower in dexamethasone group patients than normal saline group patients at extubation (but not statistically significant with p=0.166). Dexamethasone group patients also had lower postop hoareseness score at 60 minutes post extubation (p= 0.181). Conclusion: Administration of intravenous dexamethasone can reduce the incidence of postop cough in patients undergoing microvascular reconstruction surgery.

Authors and Affiliations

Geetha Singam

Keywords

Related Articles

Tamsulosin Reduces Incidence of Post Operative Urinary Retention Post Spinal Anaesthesia: A Pilot Study

Introduction: One of the most common post­operative complaints after spinal anaesthesia is post­operative urinary retention (POUR). The prophylactic effect of tamsulosin in reducing POUR in post spinal anaesthesia has no...

Comparative Evaluation of Butorphanol Versus Nalbuphine for Postoperative Epidural Analgesia in Lower Limb Orthopaedic Surgeries

Background: Epidural opioids acting through the spinal cord receptors improve the quality and duration of analgesia along with dose-sparing effect with the local anesthetics. The present study compared the efficacy and s...

A Comparative Study of the Effect of 0.5% Hyperbaric Bupivacaine and 0.5% Isobaric Levobupivacaine on Spinal Anaesthesia in Patients Scheduled for Lower Abdominal Surgeries

Introduction: Recent advances in pharmacology introduced newer local anaesthestic drugs which can be used in subarachnoid block with less motor blockade and less effect on bladder had changed the patient care from prolon...

A Comparative Study of Dexmedetomidine (1 mcg/kg) and Fentanyl (2 mcg/kg) with Dexmedetomidine (1 mcg/kg) Alone for Sedation during Awake Fiberoptic Intubation

Many drugs are used for providing favorable intubation conditions during awake fiberoptic intubation (AFOI). However, most of them cause respiratory depression and airway obstruction leading to hypoxemia. The aim of this...

A Comparative Study to Evaluate the Intubating Conditions between Propofol-Sevoflurane and Propofol Alone Without Using Neuromuscular Blocking Agents

Endotracheal intubation using an induction agent is usually facilitated by the use of depolarizing neuromuscular blocking agents like succinylcholine however it may be associated with various side effects. Propofol and s...

Download PDF file
  • EP ID EP536322
  • DOI 10.21088/ijaa.2349.8471.5818.10
  • Views 73
  • Downloads 0

How To Cite

Geetha Singam (2018). A Prospective Study of IV Dexamethasone in Reducing Post-Op Cough Hoarseness and Sore Throat in Patients undergoing Microvascular Reconstruction Surgery. Indian Journal of Anesthesia and Analgesia, 5(8), 1314-1318. https://europub.co.uk/articles/-A-536322