Comparison Of Intracuff Air Saline 2 Percent Lignocaine Alkalized Lignocaine 2 Percent To Prevent Sore Throat In Patients With General Anaesthesia By Endotracheal Intubation

Indian Journal of Applied Basic Medical Sciences
Year: 2021, Volume: 23(B), Issue. (2)
First page: (214) Last page: (222)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi: 10.48165/ijabms.2021.233718 

Comparison Of Intracuff Air Saline 2 Percent Lignocaine Alkalized Lignocaine 2 Percent To Prevent Sore Throat  In Patients With General Anaesthesia By Endotracheal Intubation 
Manisha S. Kapdi1, Dr Shruti Desai2, Dr. Vishva D. Shah3*
1Associate professor of  Anaesthesia NHLMMC, AMCMET Medical college, Ahmedabad
2Ex associate professor of Anaesthesia NHLMMC, AMCMET Medical college, Ahmedabad
3Tutor in anaesthesia; Ex  Resident in Anaesthesia NHLMMC, AMCMET Medical college, Ahmedabad
Corresponding Author: Dr. Vishva D. Shah, Email: vishvashah92@gmail.com

Online Published on 25-August-2021

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ABSTRACT

BACKGROUND: Postoperative Sore throat and cough during emergence are common side  effects of general anaesthesia and its incidence is reported by 30-80% of patients after tracheal  intubation. Also, not to forget the hemodynamic fluctuations associated with it, adds on to the  magnitude of the problem. Thinking of a simple and cost-effective way to tackle this problem,  this study was undertaken to determine the benefits of using intra-cuff lignocaine, alkalized  lignocaine to prevent post intubation sore throat and emergence cough.  AIMS & OBJECTIVE: The objective of this study was to assess the efficacy of intra-cuff 2%  lignocaine solution, intracuffed alkalized lignocaine 2% in reducing emergence cough and  post-operative sore throat after extubation in general surgery patients intubated for 2-4 hours.  METHODS: In a comparative observational study done in tertiary care hospital, where 200  ASA I and II status patients divided into 4groups of 50 each were compared for Sore throat,  throat pain, cough& restlessness. In group A, ETT cuff was filled with air, ingroup B with  Normal saline, in group C 2% plain lignocaine solution, in group D Alkalinised 2% lignocaine  9 cc 2% lignocaine with 1cc sodabicarb 8.5%w/w was used. Side effects like sore throat,  coughing and restlessness were assessed. Chi square and ANOVA test were used to compare  the findings.  RESULTS: Postoperative sore throat (POST), cough, restless ness, throat pain are least with  Alkalized Lignocaine, & then in decreasing order with Lignocaine, saline& air groups. CONCLUSIONS: This study proves that 2% intra-cuff alkalized lignocaine is an effective  method in reducing post-operative sore throat and emergence cough.

Keywords

Intra-cuff air, Intracuff alkalised 2% lignocaine, Lignocaine 2%, saline, POST  (Post-Operative Sore Throat),