Comparison of Postoperative Sore Throat and Hoarseness Between Two Types of Double-Lumen Endobronchial Tubes: A Randomized Controlled Trial

2015 ◽  
Vol 29 (1) ◽  
pp. 121-125 ◽  
Author(s):  
Joonpyo Jeon ◽  
Kusang Lee ◽  
Guyeon Ahn ◽  
Jingyoung Lee ◽  
Wonjung Hwang
Keyword(s):  
Randomized Controlled Trial ◽  
Sore Throat ◽  
Controlled Trial ◽  
Postoperative Sore Throat ◽  
Double Lumen ◽  
Randomized Controlled

scholarly journals Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial

2019 ◽  
Author(s):  
Yahong Gong ◽  
Xiaohan Xu ◽  
Jin Wang ◽  
Lu Che ◽  
Weijia Wang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Thyroid Surgery ◽  
Cuff Pressure ◽  
Controlled Trial ◽  
Laryngeal Mask ◽  
Postoperative Sore Throat ◽  
Randomized Controlled

Abstract BackgroundSore throat is a remarkable complication after thyroid surgery with endotracheal tube (ETT). Many studies revealed that laryngeal mask airway (LMA) might reduce the incidence and severity of postoperative sore throat. However, little is known about the use of a flexible reinforced LMA (FLMA) in thyroid surgery. The purpose of this study was to explore the potential benefits of FLMA compared with ETT on postoperative sore throat.MethodsIn this prospective, single-blinded, randomized, controlled trial, ninety-six patients aged 20-80 years, scheduled for elective radical thyroidectomy under general anesthesia were enrolled. They were randomly divided into ETT group and FLMA group. All the included patients received total intravenous anesthesia (with propofol, fentanyl and rocuronium) and controlled mechanical ventilation during the surgery. Cuff pressure of ETT and FLMA were strictly controlled. Incidence and severity of postoperative sore throat, numbness and hoarseness at 1, 24, and 48 h after surgery was evaluated and compared between the two groups. Incidence and severity of buckling during extubation and the hemodynamic profile during intubation were also recorded and compared.ResultsThe incidence of sore throat and hoarseness was significantly lower in FLMA group than those in ETT group at 1h, 24h and 48h postoperatively, as well as the severity of sore throat. Compared to ETT group, there was a significantly lower incidence of buckling during extubation and less fluctuation of HR and BP at 1min and 3min after intubation in FLMA group.ConclusionsPostoperative sore throat and hoarseness was improved in patients undergoing thyroid surgery with FLMA when compared with ETT. The use of FLMA also achieved less buckling during extubation and better hemodynamic profiles during intubation.

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