Effects of intracuff alkalinized lignocaine, dexamethasone, or normal saline on endotracheal tube-induced emergence phenomena: A randomized double-blinded study
| Autor: | Rohini Bhat Pai, Deependra Kambli, Teena Desai, Eufemia Dias, Shaila Kamat |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Randomization
business.industry medicine.medical_treatment Context (language use) emergence phenomena Endotracheal tube intracuff alkalinized-lignocaine dexamethason lcsh:RD78.3-87.3 stomatognathic diseases lcsh:Anesthesiology Anesthesia saline Cuff Sore throat medicine otorhinolaryngologic diseases Laryngospasm medicine.symptom Prospective cohort study business Saline Dexamethasone medicine.drug |
| Zdroj: | The Indian Anaesthetists' Forum, Vol 20, Iss 1, Pp 9-15 (2019) |
| ISSN: | 0973-0311 |
| Popis: | Context: During endotracheal intubation, as we aim for smooth induction, smooth extubation is also mandatory. During extubation, coughing, sore throat, hoarseness, and laryngospasm are not desired and have to be prevented. Aims: The aim of the study is to study the effects of inflating the endotracheal tube (ETT) cuff with alkalinized lignocaine (Group L) or dexamethasone (Group D) or saline (Group S) on the emergence phenomena of endotracheal extubation. Settings and Design: Tertiary hospital, randomized double-blinded prospective study. Subjects and Methods: A total of 90 patients undergoing surgery under general anesthesia were randomly allotted into three groups, 30 in each group. After endotracheal intubation, the tube cuff was inflated with alkalinized lignocaine (Group L) or dexamethasone (Group D) or saline (Group S) as per the randomization sequence. At emergence and 1 h after surgery for hemodynamic indices and incidence of postextubation, sore throat, cough, hoarseness, and laryngospasm were assessed. Results: With respect to cough and sore throat, Group L and Group D were significantly better than Group S but the hoarseness was the worst in Group D. Conclusions: Inflating the ETT cuff with alkalinized lignocaine or dexamethasone helped in preventing sore throat and cough to a better extent than saline, the hoarseness, however, being the worst in dexamethasone group. |
| Databáze: | OpenAIRE |
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