Larangospasm.. Postprocedural subglottic stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: simple cardiac surgury(CABG or valvular) No history of smoking and drug or alcohol addiction during the last 10 years before surgery No history of any drug or food allergies All patients took beta-blockers around the operation and in the morning No history of lung problems (asthma, COPD, etc.) treated with oral or inhaled drugs
Exclusion criteria
Exclusion criteria: Dangerous arrhythmia during or after surgery Hemodynamic instability including: cardiac instability (patients treated with epinephrine or levofed at doses above 1.1 µg / kg) and respiratory instability (po2=60mmhg or pco2=50) during postoperative time Bleeding so much that the patient becomes a candidate for reoperation Injection of lidocaine for any reason after surgery EF drop after surgery Use of ECMO or pump balloons after surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cough occurs after extubation. Timepoint: The onset of cough is assessed before and during injection, 5 minutes after injection, and finally one minute after endotracheal tube removal and 10 minutes after. Method of measurement: The incidence of cough is measured by three criteria of cough, which include: 1- no cough or temporary cough following the exit of the endotracheal tube, 2- incidence of cough by breathing, and 3- persistent cough without respiratory stimulation when the endotracheal tube exits up to 10 minutes later. The questionnaire is mentioned. | — |
Countries
Iran (Islamic Republic of)
Contacts
Iran University of Medical Sciences