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 107
- Downloads 0
A Rare Presentation of Pancytopenia with Hemophagocytosis Lyphohistiocytosis: T cell/ Histiocyte Rich Large B cell Lymphoma
T-cell/Histiocyte Rich Large B cell Lymphoma (T/HRLBCL) is a subtype of diffuse large B-cell lymphoma (DLBCL). This variety of lymphoma highlights the challenges in defining and classifying the specific subtypes of DLBC...
Case report- A case of light chain nephropathy.
Light Chain Deposition Disease (LCDD) is a rare disease characterized by deposition of monoclonal non-amyloid light chains in multiple organs (1). It was first described about three decades ago. Due to varied clinical pr...
Effect of Disnfection And Sterilization Procedures on Denture Base Materials An In-Vitro Study.
The Centre for Disease Control (CDC) has advised to treat every patient as a potential source of infection. The newly fabricated complete dentures should be disinfected/sterilized before insertion and after adjustment pr...
To Study the Importance of Single Piece Composite Tragal Cartilage Graft For Type-I Tympanoplasty In Subtotal Perforation
Background- Hearing loss is a global problem with 275 million of the world’s population suffering from moderate or greater degrees of decreased hearing acuity according to WHO survey in 2001. The disease is more commonly...
Results of Clavicle Plating In Adult Clavicle Fractures.
Background: Fractures of the clavicle are managed conservatively by most of the orthopedicians. However, the management of the displaced fractures of clavicle has always been a dilemma. In our study, we studied the resul...