Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia?
Objective: To assess whether applying betamethasone-gel to an endotracheal tube is more effective than using an unlubricated endotracheal tube in minimizing the occurrence of postoperative sore throat, hoarseness, and cough. Methods: 144 patients of the American Society of anaesthesiologists-phys...
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Rawalpindi Medical University
2024-12-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2567 |
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| author | Sehrish Asad Muhammad Ali Saleem Ahmed Faheem Feroze Sadia Chaudhry Nighat Qamar |
| author_facet | Sehrish Asad Muhammad Ali Saleem Ahmed Faheem Feroze Sadia Chaudhry Nighat Qamar |
| author_sort | Sehrish Asad |
| collection | DOAJ |
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Objective: To assess whether applying betamethasone-gel to an endotracheal tube is more effective than using an unlubricated endotracheal tube in minimizing the occurrence of postoperative sore throat, hoarseness, and cough.
Methods: 144 patients of the American Society of anaesthesiologists-physical status (ASA-PS) I and II, aged 18–65 years of either gender planned for elective surgery under general anaesthesia with endotracheal intubation were included. Patients undergoing ENT /oral cavity / oropharyngeal surgeries and upper respiratory tract infections were excluded. Patients were divided into two groups. In group X, patients were intubated with an endotracheal tube lubricated with 0.05% betamethasone-gel. In group Y patients were intubated with the unlubricated endotracheal tube. All patients were evaluated for the frequency of POST, HOV and PEC at 24 h after extubation.
Results: Post-operative sore throat was present in 25 (34.7%) patients in group X and 29 (40.3%) patients in group Y. Post-extubation cough was present in 06 (8.3%) patients in group X and 9 (12.5%) patients in group Y. Hoarseness of voice was present in 04 (5.6%) patients in group X and 6 (8.3%) patients in group Y. A comparison of both groups showed a p-value of 0.0001 which is statistically significant.
Conclusion: Using betamethasone-gel to lubricate the endotracheal tube markedly diminishes the frequency and intensity of postoperative airway symptoms.
Keywords: Endotracheal intubation, betamethasone, sore throat, cough, hoarseness, anesthesia.
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| format | Article |
| id | doaj-art-a130106390db470ea295ba3db5a7edf0 |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-a130106390db470ea295ba3db5a7edf02025-02-06T08:34:04ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702024-12-0128410.37939/jrmc.v28i4.2567Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia?Sehrish Asad0Muhammad Ali1Saleem Ahmed2Faheem Feroze3Sadia Chaudhry4Nighat Qamar5Pakistan Air Force Hospital IslamabadIslamic International Medical College RawalpindiPakistan Air Force Hospital IslamabadCMH MALIR KarachiRawalpindi Medical UniversityIslamic International Medical College Rawalpindi Objective: To assess whether applying betamethasone-gel to an endotracheal tube is more effective than using an unlubricated endotracheal tube in minimizing the occurrence of postoperative sore throat, hoarseness, and cough. Methods: 144 patients of the American Society of anaesthesiologists-physical status (ASA-PS) I and II, aged 18–65 years of either gender planned for elective surgery under general anaesthesia with endotracheal intubation were included. Patients undergoing ENT /oral cavity / oropharyngeal surgeries and upper respiratory tract infections were excluded. Patients were divided into two groups. In group X, patients were intubated with an endotracheal tube lubricated with 0.05% betamethasone-gel. In group Y patients were intubated with the unlubricated endotracheal tube. All patients were evaluated for the frequency of POST, HOV and PEC at 24 h after extubation. Results: Post-operative sore throat was present in 25 (34.7%) patients in group X and 29 (40.3%) patients in group Y. Post-extubation cough was present in 06 (8.3%) patients in group X and 9 (12.5%) patients in group Y. Hoarseness of voice was present in 04 (5.6%) patients in group X and 6 (8.3%) patients in group Y. A comparison of both groups showed a p-value of 0.0001 which is statistically significant. Conclusion: Using betamethasone-gel to lubricate the endotracheal tube markedly diminishes the frequency and intensity of postoperative airway symptoms. Keywords: Endotracheal intubation, betamethasone, sore throat, cough, hoarseness, anesthesia. https://www.journalrmc.com/index.php/JRMC/article/view/2567Endotracheal intubationgeneral anaesthesiabetamethasone gelpost-operative sore throatpost-extubation coughpost-operative hoarseness |
| spellingShingle | Sehrish Asad Muhammad Ali Saleem Ahmed Faheem Feroze Sadia Chaudhry Nighat Qamar Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia? Journal of Rawalpindi Medical College Endotracheal intubation general anaesthesia betamethasone gel post-operative sore throat post-extubation cough post-operative hoarseness |
| title | Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia? |
| title_full | Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia? |
| title_fullStr | Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia? |
| title_full_unstemmed | Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia? |
| title_short | Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia? |
| title_sort | can we reduce postoperative airway symptoms related to endotracheal intubation in elective general anesthesia |
| topic | Endotracheal intubation general anaesthesia betamethasone gel post-operative sore throat post-extubation cough post-operative hoarseness |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2567 |
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