A RANDOMISED CONTROLLED TRAIL ON EFFECT OF SMALLER ENDOTRACHEAL TUBE COMBINED WITH INTRAVENOUS LIGNOCAINE ON POST-OPERATIVE SORE THROAT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 26
Abstract
BACKGROUND Post-operative sore throat (POST) is one of the common complications of general anaesthesia (GA) with endotracheal tube, which may cause patient dissatisfaction after the surgery. Various methods to reduce POST have been tried, both pharmacological and non-pharmacological, with varying results. This study aims to compare the effectiveness of a combination of intravenous (I.V.) lignocaine and smaller endotracheal tube (ETT) on the occurrence of POST. METHODS Four hundred women between 18-70 years undergoing elective surgeries under GA with endotracheal tube satisfying the inclusion criteria were allotted into 4 groups: Group A: cuffed ETT size 7.0 with I.V. saline, Group B: cuffed ETT size 7.0 with I.V. lignocaine, Group C: cuffed ETT size 6.0 with I.V. saline and Group D: cuffed ETT size 6.0 with I.V. lignocaine. After extubation, the patients were assessed for occurrence and severity of sore throat at 1, 6 and 24 hours after surgery. RESULTS The incidence and severity of POST was statistically different among the 4 groups (p<0.001 for overall incidence; p= 0.001, p<0.001, p= 0.002 for incidence at 1,6, and 24 hrs; p= 0.027, p= 0.030, p= 0.622 for different grades of POST at 1 hr, p= 0.004, p= 0.044 at 6 hrs., and p= 0.008, p= 0.622 at 24 hrs respectively). Inter group comparison showed statistical difference in incidence and severity between groups A and C; groups B and D; groups A and D. CONCLUSIONS The use of smaller ETT for GA reduces the incidence as well as severity of POST. Intravenous lignocaine has little effect in preventing the occurrence of POST, but the combination of smaller ETT and IV lignocaine appears to reduce POST more than when they are used individually.
Authors and Affiliations
Donkada Rajasekhar, Mohan Sankerji Maharaj T.
Keywords
Related Articles
- EP ID EP668489
- DOI 10.18410/jebmh/2019/369
- Views 122
- Downloads 0
A COMPARATIVE STUDY OF CLINICAL EFFECTS OF INTRATHECAL 0.5% BUPIVACAINE WITH CLONIDINE VERSUS 0.5% BUPIVACAINE IN PATIENTS UNDERGOING MAJOR GYNAECOLOGICAL SURGERIES
Spinal anaesthesia requires a small volume of drug to produce profound sensory analgesia and motor blockade but has limited duration of action. So a properly chosen adjuvant to local anaesthetic agent produces the best w...
POWER POINT PRESENTATION – MODERN TOOL OF TEACHING AND LEARNING
Microsoft Power Point - It is a program of slide show presentation officially launched on 22.05.1990. HISTORY: Power Point was originally developed by Bob Gaskins. Initially it was called 'Presenter'. Later it was rename...
SOCIAL MEDIA USE AND PERCEPTION OF LIVE LECTURES BY MEDICAL STUDENTS
BACKGROUND The current generation is rightly described as generation M (edia) highlighting the increasing time spent with media on any given day. The availability of mobiles and the absence of mobile jammers in lecture c...
AN UNUSUAL CASE OF HANGING WITH ELASTIC CREPE BANDAGE: A CASE REPORT
Committing suicide by hanging is very common now-a-days because it is the cheapest method and it produces painless death. Any person irrespective of sex, age and socioeconomic status can commit suicide by hanging any tim...
CLINICAL PROFILE OF DRY EYE DISEASE AT A TERTIARY CARE CENTRE IN WESTERN ODISHA
BACKGROUND Dry eye disease is a quite common as well as under-diagnosed disorder of the eye. It causes varying degrees of symptoms of ocular discomfort such as irritation, itching and watering of eyes. MATERIALS AND METH...