Comparison prophylactic effects of gargling different doses of ketamine on attenuating postoperative sore throat: A single-blind randomized controlled trial

Autor: Kheirabadi, Dorna, Ardekani, Maryam Sobhan, Honarmand, Azim, Safavi, Mohammad Reza, Salmasi, Elnaz
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Preventive Medicine, Vol 12, Iss 1, Pp 62-62 (2021)
International Journal of Preventive Medicine
ISSN: 2008-8213
2008-7802
Popis: Context: Postoperative sore throat (POST) is a common annoying problem following endotracheal (ET) intubation. Aims: Comparing the impact of low and high doses of ketamine gargle on lowering POST incidence and severity. Settings and Design: 96 patients selected for septoplasty surgery under general anesthesia were investigated through a single-blind randomized controlled trial. Methods: This study was performed on three equal groups. Group K and G gargled 50 and 100 mg ketamine, respectively, solved in normal saline and group C gargled pure normal saline for 30 s at 5 min before tracheal intubation. POST severity measured immediately after the entrance to the postanesthetic care unit (PACU) and then 2 h, 4 h, 8 h, and 24 h after operation. Statistical Analysis Used: Collected data were analyzed by the Chi-square test, Mann-Whitney test, Kruskal-Wallis test, one-way analysis of variance (ANOVA) and Friedman test using SPSS version 20. Results: POST incidence and severity in group C were significantly higher than both K and G groups at all times. Although significant differences between low and high doses of ketamine were acknowledged at 8 h post-operation, 100 mg ketamine could attenuate POST severity further than 50 mg at all times. Conclusions: It seems that 100 mg outperformed 50 mg ketamine without rising complications and dissatisfaction for subjects. So, it gives us a powerful reason to suggest gargling 100 mg ketamine for lessening POST incidence and severity.
Databáze: OpenAIRE