DOI: http://dx.doi.org/10.18203/2349-3933.ijam20205455

The study of oropharyngeal pack soaked in lignocaine with dexamethasone in patients undergoing nasal surgeries

Mahendra Agrawal, Pushpal Gandhi, Bhavika Agrawal, Simarn Behl

Abstract


Background: The aim of this study determines the efficacy of lignocaine lignocaine with dexamethasone used topically in form of oropharyngeal pack in reducing postoperative sore throat (POST), hoarseness and throat irritation.  

Methods: This retrospective study total of 70 adult patients included in the lignocaine and dexamethasone (LD) group. LD group patients received combination of 5 ml lignocaine 2% and 2 ml (8 mg) dexamethasone in oropharyngeal packing.

Results: There is no significant difference in age, gender, and American society of anesthesiologists (ASA) grade I and II. There was no significant difference the studied group in term of measured hemodynamic indices Systolic blood pressure, diastolic blood pressure, pulse rate, and respiratory rate. Post extubation incidence of mild sore throat was occurred in patients 11 (31.4%) at 30 min, 13 (37.1%) at 2 hours, 6 (17.1%) at 6 hours, and 5 (14.2%) at 5 (14.2%). Moderate sore throat and severe sore throat was not present. Hoarseness of voice was present only 4 (11.4%) at 30 min. There was significant deference in throat irritation. A decrease in incidence of hoarseness was also seen in group LD.  

Conclusions: In LD group a positive benefit is seen in form of reduction of POST, hoarseness and throat irritation helping in better recovery of patients.


Keywords


Postoperative sore throat, Oropharyngeal pack, Hoarseness, Post extubation

Full Text:

PDF

References


McHardy FE, Chung F. Postoperative sore throat: cause, prevention and treatment. Anaesthesia. 1999;54(5):444-53.

Biro P, Seifert B, Pasch T. Complaints of sore throat after tracheal intubation. Europ J Anaesthesiol. 2005;22(4):307-11.

Saarnivaara L, Grahne B. Clinical study on an endotracheal tube with a high residual volume, low pressure cuff. Acta anesth Scan. 1981;25(2):89-92.

Jensen PJ, Hommelgaard P, Sondergaard P, Eriksen S. Sore throat after operation: Influence of tracheal intubation, intracuff pressure and type of cuff. Br J Anaesth. 1982;54(4):453-7.

Christine stock M, John Downs B. Lubrication of tracheal tubes to prevent sore throat from intubation. Anesthesiology. 1982;57:418-9.

Monroe MC, Gravenstein N, Saga-Romley S. Postoperative sore throat: Effect of oropharyngeal airway in orotracheally intubated patients. Anesth Analg. 1990;70(5):512-6.

Stride PC. Postoperative sore throat: topical hydrocortisone. Anaesthesia. 1990;45(11):968-71.

Valentine S, Mc vey FK, Coe A. Postoperative sore throat. A comparison after premedication with papaveretum/hyoscine or temazepam. Anaesthesia 1990;45(4):306-8.

Winkel E, Knudsen J. Effects on the incidence of postoperative sore throat of 1 percent cinchocaine jelly for endotracheal intubation. Anesthesia Analges. 1971;50(1):92-4.

Jones MW, Catling S, Evans E, Green DH, Green JR. Hoarseness after tracheal intubation. Anaesthesia 1992;47:213-6.

Tabari M, Soltani G, Zirak N, Alipour M, Khazaeni K. Comparison of Effectiveness of Betamethasone gel Applied to the Tracheal Tube and IV Dexamethasone on Postoperative Sore Throat: A Randomized Controlled Trial. Iran J Otorhinolaryngol. 2013;25(73):215-20.

Kadar MA. Assessment of the efficacy of dexamethasone, lignocaine or placebo in theprevention of post intubation sore throat. Int J Biomedic Res. 2015;6(07):493-503.

Hakim M. El Beclomethasone prevents postoperative sore throat. Acta Anaesth Scand. 1993;37(3):250-2.

Yildiz I, Bayir H, Sereflican M, Demirhan A, Yurttas V, Bilgi M, et al. The effectof topical lidocaine plus dexamethasone on postoperative analgesia in septoplastysurgery. Biomedic Res. 2016;27(3).

Kazemi A, Amini A. The effect of betamethasone gel in reducing sore throat, cough, and hoarseness after laryngo-tracheal intubation. Middle East J Anaesthesia. 2007;19(1):197-204.