scholarly journals The Effect of Nebulized Magnesium Sulphate on the Incidence of Postoperative Sorethroat

2020 ◽  
Vol 5 (1) ◽  
pp. 185-190
Author(s):  
T. Padma ◽  
Raju B ◽  
Raviraj GS
Keyword(s):  
Clinical Study ◽  
Sore Throat ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Age Group ◽  
Postoperative Sore Throat ◽  
Medical College ◽  
Randomized Clinical Study ◽  
Significant Difference ◽  
Definition Of

Background: Postoperative sore throat (POST) is a well-recognized complication that remains unresolved in patients undergoing endotracheal intubation for general anaesthesia. The wide variation in these figures is presumably due to different skills and techniques among anesthetists and to differences between patients in the definition of sore throat. The main aim is to study the attenuating effect of Magnesium sulphate nebulization on the incidence of post-operative sore throat. Subjects and Methods: This is a prospective randomized clinical study. A total number of 100 patients of ASA grade 1 & 2, in the age group of 18 - 60 years. The study has been carried out at Sri Venkateswara Ram Narayana Ruia Government General Hospital, Sri Venkateswara Medical College, Tirupati, over a period of 12 months. Results: There was no significant difference among the groups in terms of age, gender and weight. Whereas Magnesium sulphate significantly lessens the POST during swallowing at 4th hour as compared to Normal saline (p< 0.05) and this statement can be attributed to any population. Conclusion:  Post-operative sore throat is one of the most common undesirable anesthesia-associated problems in the patients undergoing GA with an endotracheal tube for routine surgical cases for up to 24 h. Magnesium sulphate was significantly reduces the incidence of POST compared to Normal saline , and it is safe, simple and effective in reducing postoperative sore throat.

scholarly journals Evaluation of efficacy of intravenous magnesium sulphate versus dexamethasone for prevention of postoperative sore throat in patients undergoing lumbar spine surgery in prone position: a prospective randomized double blind placebo controlled study

2019 ◽  
Vol 6 (3) ◽  
pp. 833
Author(s):  
Shahnaz Ahmad Sheikh ◽  
Aabid Hussain Mir ◽  
Abida Yousuf ◽  
Imtiaz Ahmad Naqash
Keyword(s):  
Placebo Group ◽  
Sore Throat ◽  
Endotracheal Intubation ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Controlled Study ◽  
Postoperative Sore Throat ◽  
Dexamethasone Group ◽  
Intravenous Magnesium ◽  
Group I

Background: Endotracheal intubation is associated with postoperative sore throat. The aim was to evaluate the efficacy of intravenous magnesium sulphate versus dexamethasone for prevention of postoperative sore throat in patients undergoing lumbar surgery in prone position.Methods: 150 patients of ASA physical status I and II in the age group of 18 to 70 years were divided into three groups of 50 each. group I (magnesium sulphate) received intravenous magnesium sulphate 30 mg. kg-1 in a total of 50 ml of normal saline for 10 minutes after intubation, group II (dexamethasone group) received intravenous dexamethasone 8 mg in 50 mL normal saline for 10 minutes after intubation and group III (placebo group) received 50 ml of normal saline for 10 minutes after intubation. The incidence and severity of postoperative sore throat and hoarseness was assessed by an anesthesiologist unaware of the group allocation, on arrival in the post anesthesia care unit at 0 h, and at 1 h, 6 h, 12 h, and 24 h thereafter.Results: Both incidence and severity of sore throat and incidence of hoarseness was more in placebo group than magnesium sulphate group and dexamethasone group and was statistically significant (p<0.05) and was comparable between magnesium sulphate and dexamethasone groups.Conclusions: Endotracheal intubation is associated with sore throat and hoarseness of voice. Magnesium sulphate and dexamethasone given intravenously reduce the incidence and severity of sore throat and hoarseness associated with endotracheal intubation.

scholarly journals Evaluation of Medicated Pharyngeal Pack for Prevention of Postoperative Sore Throat following Nasal Septal Surgery

2020 ◽  
Vol 1 (1) ◽  
pp. 4
Author(s):  
Tarique Ahmed Maka ◽  
Akeel Ur Rehman ◽  
Sajid Ali
Keyword(s):  
Sore Throat ◽  
Normal Saline ◽  
Military Hospital ◽  
Postoperative Sore Throat ◽  
Septal Surgery ◽  
Significant Difference ◽  
Group A ◽  
The Difference ◽  
Group B ◽  
Pharyngeal Packing

Objective: To compare the difference in frequency of postoperative sore throat, dysphagia, hoarseness and cough after nasal septal surgery between pharyngeal packings soaked in normal saline, soluble aspirin or ketorolac. Study Design: A comparative study. Place and Duration of Study: The study was carried at ENT Department of Combined Military Hospital, Risalpur from July 2017 to June 2018. Materials and Methods: The study was performed on 180 patients of both genders, aged between 20-50 years. Cases were randomly allocated into three groups of 60 each. In group A (control), postoperative pharyngeal packing was done with ribbon gauze impregnated with 50 ml normal saline, in group B (soluble aspirin group) packing was done with gauze impregnated in 50 ml of normal saline in which 300 mg of soluble aspirin was dissolved, whereas in group C (ketorolac group) packing was done with gauze impregnated in 50 ml of normal saline in which 30 mg of ketorolac was dissolved. Results: In group A, 10 patients (16.7%) complained of sore throat, 8 (13.3%) dysphagia, 11 (18.3%) hoarseness and 12 (20%) cough. In group B, 4 (6.7%) patients complained of sore throat, 3 (5%) dysphagia, 3 (5%) hoarseness and 4 (6.7%) cough whereas in group C, 3 (5%) patients complained sore throat, 1 (1.7%) dysphagia, 2 (3.3%) hoarseness and 4 (6.7%) cough. All parameters were significantly raised (p<0.001) in group A as compared to group B and C whereas there was no significant difference found in the parameters between group B and C except dysphagia which was significantly lower (p<0.001) in group C as compared to group B. Conclusion: Use of soluble aspirin or ketorolac impregnated pharyngeal packing significantly reduced frequency of post-operative sore throat, dysphagia, hoarseness and cough as compared to simple normal saline impregnated packing among patients undergoing nasal surgery. How to cite this: Maka TA, Rehman A, Ali S. Evaluation of Medicated Pharyngeal Pack for Prevention of Postoperative Sore Throat following Nasal Septal Surgery. Life and Science. 2020; 1(1): 33-36. doi: https://doi.org/10.37185/L&S.1.1.16

To compare the frequency of postoperative sore throat with I-gel versus laryngeal mask airway in patients

2021 ◽  
Vol 15 (12) ◽  
pp. 3232-3235
Author(s):  
M. J. Ahmed Kamal ◽  
Baber Zaheer ◽  
Naveed Ahmed Durrani ◽  
Khaleel Ahmad ◽  
Sumara Tabassam ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
General Anesthesia ◽  
Sore Throat ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Postoperative Sore Throat ◽  
Significant Difference ◽  
Group A ◽  
Group Members ◽  
Group B

Background: In case of general anesthesia, airway maintenance along with least complications is the most important goal of team of anesthesiologists. In case of clinical practice, the laryngeal mask airway (LMA) devices have superiority in managing supraglottic airway. Recently i-gel airway has been introduced as supraglottic airway equipment (disposable). Aim: To make comparison between laryngeal mask and I-gel with respect to postoperative complication of sore throat in case of patients who were given general anesthesia. Study design: Randomized trial Setting: Anesthesia Department Study duration: 6 after synopsis approval in total 6months of duration Methods: Candidates were divided randomly divided into two groups. In case of members of group A, patients were given i-gel where as members of group B, disposable LMA was given. General anesthesia was administered according to the standardized protocols. A day after operation, candidates were check post operatively for 24 hours, for sore throat and information was documented on Performa. Results: The candidates mean age was 44.23±15.11years in case of i-gel group members whereas 46.10±15.56 years in case of LMA group. In case of i-gel group, there were about twenty five males members and thirty five were females members . In case of LMA group members, there were about twenty six males and thirty four female members . In present case research, sore throat postoperatively was seen in case of 17(14.2%) cases, i.e. 4 (6.7%) in i-gel group while 13(21.7%) in case of LMA group. The significant difference was witnessed between members of both groups (p<0.05). Conclusion: Thus i-gel is better than LMA for general anesthesia as it has fewer chances of side effects like postoperative sore throat. Keywords: Postoperative sore throat, I-gel, laryngeal mask airway, general anesthesia

A COMPARISON OF EFFECT OF NEBULISED KETAMINE AND NEBULISED MAGNESIUM SULPHATE IN REDUCTION OF INCIDENCE AND SEVERITY OF POSTOPERATIVE SORE THROAT - A PROSPECTIVE RANDOMIZED DOUBLE BLINDED STUDY

2021 ◽  
pp. 38-40
Author(s):  
M. Selvi Annie Geeta ◽  
M. Ramesh Ram
Keyword(s):  
Tracheal Intubation ◽  
General Anesthesia ◽  
Sore Throat ◽  
Magnesium Sulphate ◽  
Success Rates ◽  
Postoperative Sore Throat ◽  
It Effectiveness ◽  
Duration Of Surgery ◽  
The Mean ◽  
Group B

Introduction: Postoperative sore throat (POST) is a common occurrence following general anesthesia with endotracheal intubation. The incidence of POST is estimated to be 21%-65% in various studies. Irritation and inammation of the air way are considered to be the cause of POST. Although considered a minor and self limiting complication, it may cause a signicant patient morbidity, dissatisfaction and increased the length of duration of hospital stay. Various pharmacological and non pharmacological methods have been tried to decrease POST with varying success rates. Among the interventions, the use of ketamine gargle or lozenges has highest success rates, but the problem with this is the bitter taste of the drug and the risk of aspiration, so aerosol route of drug administration gained popularity among the anesthesiologists with good acceptance from the patients. It is known that N-methyl-D-aspartate (NMDA) receptors have a role in nociception and inammation. Hence, this study is aimed at using the aerosol route of magnesium sulphate and ketamine and to nd it effectiveness in preventing POST. Aim Of The Study: To evaluate the effect of nebulized ketamine and nebulized magnesium sulphate for attenuation of postoperative sore throat in patients undergoing surgeries under general anesthesia with tracheal intubation. Materials And Methods: This study was done in the Department of Anesthesiology in collaboration with the Department of Surgery in Kanyakumari Government Medical College from January 2019 to December 2019. Patient planned for surgery under general anesthesia except head, neck & ENT surgeries were selected and randomized into two groups (35 each). Each group received nebulisation for 15 min before induction of general anaesthesia. Group M: Nebulization with 500mg magnesium sulphate in 5ml NS. Group K: Nebulization with 50mg ketamine in 5ml NS. The Parameters related to the study such as duration of laryngoscopy, time taken to intubate, duration of surgery, number of attempts to intubate were recorded. Incidence and severity of sore throat were assessed by four point scale. Incidence of sore throat is assessed for 24 hours. Complication were recorded. Results: We found that the demographic parameters were comparable and statistically insignicant. The mean duration of laryngoscopy difference between the two groups Group M - 24.54± 1.12 seconds and Group K - 24.49 ±1.15 seconds was not statistically signicant P= 0.834 (P>0.05). The mean time taken to intubate in Group M - 27.54± 1.12 seconds and Group K - 27.54± 1.12 seconds was not statistically signicant with P=1.000 respectively (P>0.05). The mean duration of surgery in Group M - 90.71±15.67 minutes and the Group K - 88.20 ±16.53 minutes between the two groups was not statistically signicant P= 0.516 (P>0.05). The mean difference of number of attempts taken to intubate between the two groups was statistically insignicant P=0.771 (P>0.05). The overall incidence of sore throat in Group M was 91% and in Group B was 34%. The severity of sore throat between Group M and Group K is statistically signicant at 2, 4, 6 hrs at grade 1 and grade 2. Conclusion: On the basis of our result, we can suggest that the use of perioperative ketamine nebulization when compared magnesium sulphate nebulization reduces the incidence and severity of post-operative sore throat at 4th and 6th hour during postoperative period in patients who had received general anesthesia with tracheal intubation.

scholarly journals Comparative Study of Efficiency between Povidone Iodine and Normal Saline Lavage in the Treatment of Acute Peritonitis

2018 ◽  
Vol 4 (1) ◽  
pp. 15-20
Author(s):  
Haridas Saha ◽  
Mohammad Ibrahim Khalil ◽  
Aminul Islam ◽  
Abdullah Al Mamun ◽  
Md Margub Hossain
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Normal Saline ◽  
Povidone Iodine ◽  
Medical College ◽  
Acute Peritonitis ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Saline Lavage

Background: Control of the primary site of sepsis is the main determinant of good surgical outcome. Objective: The purpose of the present study was to compare the efficiency between povidone iodine and normal saline lavage in the treatment of acute peritonitis. Methodology: This was a randomized clinical trial conducted in the Department of Surgery at Dhaka Medical College & Hospital, Dhaka, Bangladesh. Patients with acute peritonitis due to gastrointestinal causes who were admitted in the different units of Dhaka Medical College Hospital during the study period were selected as study population. Among them patients who were treated with povidone iodine were enrolled in the present study in group A and patients who were treated with conventional normal saline were in group B. Results: A total number of 1050 patients were recruited for this study. Among them 100 patients were enrolled in the present study of which group A (50 patients) for povidone iodine and group B (50 patients) for conventional normal saline. On 7th POD wound infection was found in Group A and Group B were 11(22.4%) and 21(44.7%) respectively. Statistically significant difference in post operative complication of wound infection was observed on 7th POD between the groups (p<0.05). Post operative hospital stay in Group A and Group B were 11.50 ± 4.48 and 13.46 ± 5.13 days respectively. There is statistically significant difference in post operative hospital stay between the groups (p<0.05). Conclusion: Statistically significant difference observed in post operative complication of wound infection and burst abdomen on 7th POD between the groups. The present study there is statistically significant difference in post operative hospital stay between the groups also observed. Bangladesh Journal of Infectious Diseases 2017;4(1):15-20

scholarly journals A Clinical Study of 100 Cases of Eclampsia In Rajshahi Medical College Hospital

1970 ◽  
Vol 17 (2) ◽  
pp. 80-83 ◽  
Author(s):  
Marina Khanum ◽  
Fatema Ashraf ◽  
Humaira Sahrin
Keyword(s):  
Developing Countries ◽  
Clinical Study ◽  
Perinatal Mortality ◽  
Developed Countries ◽  
Normal Vaginal Delivery ◽  
Age Group ◽  
College Hospital ◽  
Maternal Deaths ◽  
Medical College ◽  
Group 12

Eclampsia is the occurrence of one or more convulsion in association with the syndrome of pre eclampsia. It is relatively uncommon in developed countries where it complicates about one in every 200 deliveries. Eclampsia can be 20 times more common in developing countries and it probably accounts for more than 50,000 maternal deaths worldwide each year. Which anticonvulsant for women with eclampsia Evidence from the collaborative Eclampsia Trial lancet 1995, 345, 1445-63. The main objective of this study was to observe the clinical profile of antepartum eclampsia cases. The study was carried out with 100 cases that were selected randomly during year 2004. 58% of the patients were primigravida; among them 25% patients were in age group 15-14 years. About 95% patients were illiterate, low socio economic group, and in 53% patients' convulsion occurred in 32-37 weeks of pregnancy.Among 100 patients, 71 patients had normal vaginal delivery and 25% patients needed Caesarean section. Maternal mortality rate was 2%, perinatal mortality was 38%. Perinatal mortality was higher in vaginal group (12%) than LSCS group (7%). doi: 10.3329/taj.v17i2.3450 TAJ 2004; 17(2): 80-83

scholarly journals Comparison between dressing of cellulitis with normal saline and Magnesium sulphate

2018 ◽  
Vol 5 (4) ◽  
pp. 1255
Author(s):  
Rita Singh ◽  
P. Sreenivasa
Keyword(s):  
Magnesium Sulfate ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Study Author ◽  
Inflammatory Condition ◽  
History Taking ◽  
Medical College ◽  
Better Than

Background: Cellulitis is an acute inflammatory condition of the skin that is characterized by localized pain, erythema, swelling and heat. Cellulitis may be caused by indigenous flora colonies of the skin appendages.Methods: This study comprises of patients attending MNR Medical College and Hospital between February 2015 to January 2018. After proper history taking, examination and investigations patients were admitted or treated as out-patients.Results: Patients treated with normal saline dressing responded better than Magnesium sulfate dressing. No complication was observed, and healing was faster.Conclusions: In this study, author have observed patients treated with normal saline dressing responded better than Magnesium sulfate dressing. No complication was observed, and healing was faster.

scholarly journals An Anthropometric Comparison of Inner Canthal Distance, Outer Canthal Distance and Canthal Index in the Indian and Nepalese Undergraduate Students of Nepalgunj Medical College

2018 ◽  
Vol 14 (2) ◽  
pp. 12-14
Author(s):  
N Adhikari ◽  
M N Ambekar ◽  
S KC
Keyword(s):  
Undergraduate Students ◽  
Indian Population ◽  
Age Group ◽  
Same Sex ◽  
Female Undergraduate ◽  
Male Population ◽  
Facial Aesthetics ◽  
Medical College ◽  
Significant Difference ◽  
Indian Male

 Background: The canthal distances are one of the most important aspects in ascessing the facial aesthetics. Several authors have described changes in the canthal distances attributable to race and gender.Aims and Objectives: To compare the inner canntahl distance, outer canthal distance and canthal index in between Nepalese and Indian undergraduate students of Nepalgunj Medical College.Materials and Methods: The study was conducted to compare canthal distances and canthal index among 320 (160 Indians: 100 male,60 female and 160 Nepalese: 100 male and 60 female) undergraduate students of Nepalgunj Medical College of age group 18-24 years at Department of Anatomy, Chisapani, Banke. Inner canthal distance(ICD) and Outer canthal Distance(OCD) were measured by using round end spreading caliper and Canthal Index were calculated by ICD/OCD *100. The value obtained was compared among Indian and Nepalese students in both sexes by using student t-test.Result: The study showed that there was no any significant difference on the value of inner and outer canthal distances and canthal index observed between Nepalese and Indian population except on the value of canthal index which was significantly different between Indian male and Nepalese male population. However, when the comparison was done between the sexes, inner and outer canthal distances and canthal index of males are larger than females except on the value of canthal index of Indian males and Indian females which was non-significant.Conclusion: There occurred a sexual dimorphism within Indian and Nepalese population except on canthal index of Indian male and Indian female but there wasn't any significant differences between Nepalese and Indian population of same sex except on canthal index of Indian male and Nepalese male. JNGMC,  Vol. 14 No. 2 December 2016, Page: 12-14

scholarly journals Management of Edentulous Resorbed Mandibular Residual Ridge in Malaysian Geriatric Patients: 2-Year Clinical Study

2013 ◽  
Vol 3 (2) ◽  
pp. 83-86
Author(s):  
Ammar A Mustafa
Keyword(s):  
Clinical Study ◽  
Geriatric Patients ◽  
Complete Denture ◽  
Polished Surface ◽  
Neutral Zone ◽  
Age Group ◽  
Complete Dentures ◽  
Significant Difference ◽  
Improve Stability

ABSTRACT Objectives A combination of the neutral zone and the polished surface impression techniques is a useful method to reserve the functional and physiological forms of the underlying mandibular residual ridge by enhancing both retention and stability in Malaysian geriatric patients (2-year clinical study). Materials and methods A total of 25 Malaysian geriatric patients have participated in the current study. Two sets of dentures were served to the patients. The first set was constructed according the conventional method of complete denture construction whereas the second set was constructed by using neutral zone and polished surface impression techniques. Results The patients were followed up for 2 years and the obtained results showed that all patients have stopped using the conventional dentures and continued with the test dentures. The comparative analysis exhibited significant difference (p < 0.05) in favor of test dentures. Conclusion Combination of the neutral zone and the polished surface techniques can impart a physiological reservation to the underlying residual ridge without changes. Statement of problem It is common for completely edentulous geriatric patients to have resorbed mandibular residual ridge because of the process of aging. Some surgical interactions are contraindicated for this age group of patients, so, neutral zone technique and/or polished surface impression verified effective in improving stability for lower complete dentures. In spite of the fact that the above mentioned methods often used to enhance stability of complete denture, most of the studies were relying on only one of those methods to improve stability rather than retention. Researcher hypothesis stated that a combination of the neutral zone and the polished surface impression techniques should be performed together to enhance both stability and retention and henceforth reservation of the residual ridge under mandibular complete dentures issued to the patients with a constant follow-up for two consecutive years. How to cite this article Mustafa AA. Management of Edentulous Resorbed Mandibular Residual Ridge in Malaysian Geriatric Patients: 2-Year Clinical Study. Int J Prosthodont Restor Dent 2013;3(2):83-86.

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