scholarly journals How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded Study

2021 ◽  
Vol 10 (24) ◽  
pp. 5846
Author(s):  
Pia Christiansen ◽  
Caroline Hornnes Pedersen ◽  
Hansjörg Selter ◽  
Lillian Odder ◽  
Jette Præstholm Riisager ◽  
...  
Keyword(s):  
Sore Throat ◽  
Elective Surgery ◽  
Regional Hospital ◽  
University Hospital ◽  
Postoperative Sore Throat ◽  
Tube Size ◽  
Blinded Study ◽  
Male Patients ◽  
Randomised Controlled

Sore throat (POST) and hoarseness (PH) are common complaints after endotracheal intubation (EI). The aim of this study was to investigate whether tube size impacts the experiences of POST and PH after EI in patients undergoing elective surgery, as well as to document a possible role of gender. This randomised, controlled, blinded study was conducted at Aalborg University Hospital, Thisted, Denmark or North Denmark Regional Hospital, Denmark. A total of 236 patients (53.4% female, mean age 50.9 years (SD 14.0)) were enrolled from the departments of gynaecology, parenchyma and orthopaedics. The patients were randomised to a tube size of 8.0 or 7.0 for males and 7.0 or 6.0 for females. Tube sizes were known to the anaesthesia staff but blinded for patients, researchers and staff at the postoperative care unit. POST and/or PH was reported 30–60 min before anaesthesia, at 30 min and at 2, 5, 12, 24, 48, 72 and 96 h after anaesthesia. Both female and male patients experienced significantly lower levels of POST and PH after intubation with the smallest tube size. This study demonstrates that a smaller size of tube results in a reduction in POST and PH after EI for both male and female patients.

scholarly journals Role of topical magnesium in post-operative sore throat: A systematic review and meta-analysis of randomised controlled trials

2019 ◽  
Vol 63 (7) ◽  
pp. 520 ◽  
Author(s):  
JeetinderK Makkar ◽  
NarinderP Singh ◽  
Vincent Wourms ◽  
Andrés Zorrilla-Vaca ◽  
RonaldB Cappellani ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sore Throat ◽  
Randomised Controlled Trials ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Randomised Controlled

A COMPARATIVE STUDY BETWEEN LIGNOCAINE NEBULISATION AND MAGNESIUM SULPHATE NEBULISATION FOR ATTENUATION OF POSTOPERATIVE SORE THROAT

2021 ◽  
pp. 9-11
Author(s):  
Dhiman Neogi ◽  
Sudeshna Bhar Kundu ◽  
Chaitali Biswas ◽  
Anisha Ghosh ◽  
Sourav Das
Keyword(s):  
Sore Throat ◽  
Postoperative Period ◽  
Magnesium Sulphate ◽  
Severity Score ◽  
Elective Surgery ◽  
Statistical Tests ◽  
Orotracheal Intubation ◽  
Controlled Study ◽  
Postoperative Sore Throat ◽  
Double Blind

BACKGROUND: Postoperative sore throat (POST) is a common complication following general anaesthesia (GA) with orotracheal intubation. Both magnesium sulphate nebulisation and lignocaine nebulisation have been reported to be used successfully to reduce the incidence and severity of POST. Till date, no study has been reported comparing the efcacy of these two drugs for attenuation of POST. Therefore, the aim of this study was to compare the efcacy of preoperative lignocaine nebulisation and magnesium sulphate nebulisation in reducing the incidence and severity of POSTin patients undergoing GAwith orotracheal intubation. METHODS:Aprospective, double blind, parallel group, randomised, controlled study was conducted on 96 patients, aged between 18-50 years, ASAphysical status I and II, undergoing elective surgery under GAwith orotracheal intubation. Patients were randomly allocated into two groups, group L and group M. The patients in group L (n=48) received 4% lignocaine nebulisation (3 ml) and those in group M (n=48) received isotonic magnesium sulphate nebulisation (3 ml) over 15 minutes ending 5 minutes prior to induction of GA. The patients were assessed for incidence and severity of POST, cough, hoarseness of voice and dysphagia at 5 minutes and thereafter at 1, 4, 12, 24 and 48 hours in the postoperative period. All data were compared using appropriate statistical tests. RESULTS: POST four-point scale was found to be signicantly lower in group M in comparison to group L at 5 minutes and 1 hour in the postoperative period. Hoarseness severity score and dysphagia severity score were also signicantly lower in group M at 1 hour postoperatively. CONCLUSION: In comparison to lignocaine nebulisation; magnesium sulphate nebulisation was found to be more effective to reduce the incidence and severity of POST, hoarseness of voice, and dysphagia particularly in the early postoperative period.

scholarly journals Re-intubation frequency in paediatric surgical patients: a randomised controlled trial

2020 ◽  
pp. 230-234
Author(s):  
AMA Elshazly ◽  
EAA Motlb ◽  
NAA Ghaffar
Keyword(s):  
Endotracheal Tube ◽  
Elective Surgery ◽  
Controlled Trial ◽  
Group Versus ◽  
Secondary Outcome ◽  
Outer Diameter ◽  
Transverse Diameter ◽  
Blinded Study ◽  
Randomised Controlled ◽  
Surgical Operations

Background: Paediatric tracheal intubation represents a challenge to many anaesthesiologists and requires considerable expertise. We assessed re-intubation frequency and the time needed for intubation in children undergoing elective surgical operations. Methods: A prospective randomised single blinded study was conducted in Mansoura University Children’s Hospital, Egypt from April 2016 till April 2017. We enrolled 50 children scheduled for elective surgery not exceeding 90 minutes with general anaesthesia using an uncuffed endotracheal tube. They were randomly allocated into one of two groups (age-based group versus ultrasoundbased group). Primary outcome variables were re-intubation frequency and the time taken for intubation. Secondary outcome variables were optimum tube selection and complications after extubation. Results: In the ultrasound-based group, the frequency of re-intubation frequency was decreased due to an endotracheal tube which was too large (p = 0.047). The optimum tube selection was higher (p = 0.034) and the time taken for intubation was longer (p = 0.004). A significant correlation was found between the outer diameter of the endotracheal tube and the transverse diameter of the subglottic airway (r = 0.988, p < 0.001). No significant differences were detected between groups regarding complications after extubation (p > 0.05). Conclusion: Ultrasonography was superior to the use of an age-based formula in reducing re-intubation frequency but intubation was slower.

scholarly journals Do Preoperative Transfusions Impact Prognosis in Moderate to Severe Anaemic Surgical Patients with Colon Cancer?

2021 ◽  
Vol 28 (6) ◽  
pp. 4634-4644
Author(s):  
Nicolò Tamini ◽  
Luca Gianotti ◽  
Shadya Darwish ◽  
Salvatore Petitto ◽  
Davide Bernasconi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Blood Transfusion ◽  
Elective Surgery ◽  
Final Analysis ◽  
University Hospital ◽  
Common Finding ◽  
Prognostic Role ◽  
Risk Of Mortality ◽  
Preoperative Anaemia

(1) Background: Anaemia is a common finding in patients with colon cancer and is commonly corrected by blood transfusion prior to surgery. However, the prognostic role of perioperative transfusions is still debated. The aim of the present study was to investigate the role of preoperative anaemia and preoperative blood transfusion in influencing the prognosis in colon cancer. (2) Patients and Methods: Patients undergoing elective surgery for colon cancer at a tertiary referral university hospital between January 2010 and December 2018 were included in a retrospective review of a prospectively collected database. Univariate and regression analyses were performed to identify the prognostic role of preoperative anaemia and preoperative transfusions in this homogeneous cohort of patients. (3) Results: A total of 780 patients were included in the final analysis. The estimated five-year overall survival rate was significantly worse in the anaemic group (83.8% in non-anaemic patients, 60.6% in mild anaemic patients, 61.3% in moderate anaemic patients and 58.4% in severe anaemic patients; log-rank < 0.001 vs. non-anaemic patients). Anaemic status was found to be an independent adverse prognostic factor (hazard ratio (HR): 1.46; 95% confidence interval (CI): 1.02–2.07) during multivariate analysis. Among moderate to severe anaemic patients, no significant association was found between preoperative transfusions and the risk of mortality or recurrence. (4) Conclusions: Preoperative anaemia, regardless of its severity, and not preoperative blood transfusion, was independently associated with a worse prognosis after surgery in patients with colonic cancer.

Sign in / Sign up

Export Citation Format

Share Document