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. Kapdi; Shruti Desai; Vishva D. Shah

doi:10.48165/ijabms.2021.233718

Authors

Manisha S. Kapdi Associate professor of Anaesthesia NHLMMC, AMCMET Medical college, Ahmedabad
Shruti Desai Ex associate professor of Anaesthesia NHLMMC, AMCMET Medical college, Ahmedabad
Vishva D. Shah Tutor in anaesthesia; Ex Resident in Anaesthesia NHLMMC, AMCMET Medical college, Ahmedabad

DOI:

https://doi.org/10.48165/ijabms.2021.233718

Keywords:

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

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.

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