تعداد اعضاء : 3503 نفر
بازدیدهای امروز :182 بار
تعداد کل بازدیدها : 703113 بار
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Volume: 41
Year: 2019
Month: 12
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Others
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| Title
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The effect of lidocaine cuff filling with two different concentrations 2% and 4% on the incidence of cough and severity of sore throat after surgery and compared with the control group
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| Authors
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Gholamreza Khalili; Zahra Rezapouran Ghahfarokhi; Seyed Taghi Hashemi;
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| Abstract
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Background: Common complications of intubation is cough and sore throat after surgery, which increase the complications and dissatisfaction of patients, therefore, it is necessary to find a way to treat this complication. Therefore, the aim of this study was to evaluate the effect of lidocaine injection with two different concentrations (2% and 4%) in the tracheal cuff on cough and sore throat after surgery and compared with control group (normal saline).
Methods: This study was performed on 96 patients undergoing surgery (32 patients in each group). Patients were randomly assigned into three groups (2 to 5 cc lidocaine 2%, lidocaine 4%, and normal saline) and the drugs were prescribed preoperatively in cuff of the endotracheal tube. Vital signs, sore throats and frequency of coughing were recorded in the patients. Chi-square and ANOVA tests were used to compare the data.
Results: The mean score of pain in recovery and 24 hours after extubation in the lidocaine group was 4% and was the highest in the normal saline group (P = 0.002 and P = 0.019). The prevalence of cough after 12 and 24 from extubation in the lidocaine 4% group (2.6% and 0 respectively) and in the normal saline group was highest (37.5% and 25% respectively) (P=0.003 and P=0.007, respectively).
Conclusion: The results of our study showed that the prevalence of cough and the mean pain in patients receiving lidocaine 4% was significantly better than the 2% and normal saline groups, and also no other complications such as hemodynamic changes was not observed in the three groups.
Keyword: Lidocaine, Extubation, Cough, Sore Throat, Tracheal Cuff, Postoperative Complications
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ISSN 1608-5671 (Print)
ISSN 2008-160X (Online)
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