Pain, Postoperative
Conditions
Keywords
nebulizer, oxygen, post-operative sore throat
Brief summary
Rationale: Delivery dry gas during anesthesia is associated with post-operative sore throat (POST). Oxygen nebulizer therapy increases humidity to the airway, especially post-extubation. Objective: To investigate the effect and complications of oxygen nebulizer therapy on POST.
Interventions
Oxygen mask 40% 8 LPM for 30 minutes
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-75 years * Pre-operative Hb \>10 g% or Hct \> 30% * American Society of Anesthesiologist (ASA) class I-III * Elective surgery * General anesthesia with oroendotracheal tube using Macintosh laryngoscope * Not exposed to intraoperative nitrous oxide * Oxygen saturation at room air \> 95% before induction and at arrival the PACU
Exclusion criteria
* Cases needing ICU admission immediately post-operative * Conditioning requiring post-operative oxygen therapy e.g. heart disease, pregnancy, morbid obesity, cardiac and thoracic surgery * Patients' conditioning affecting to complication of nebulizer oxygen therapy e.g. pulmonary disease, bleomycin treatment * Patient's conditioning affecting POST assessment e.g. pre-operative using ventilator, recent upper respiratory tract infection (URI), recent lower respiratory tract infection and history of difficult airway * Surgical conditioning affecting POST e.g. airway surgery, oral surgery, esophageal and neck surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of oxygen nebulizer therapy on post-operative sore throat | at post-anesthetic care unit and 24-h post-operative | Assess POST using scoring system and discomfort by interview. Sore throat scoring system is divided into 4 scores 0 means no sore throat 1. means minimal sore throat (less severe than cold) 2. means moderate sore throat (similar to cold) 3. means severe sore throat (more severe than cold) |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the adverse events (pulmonary complications, wound infection, and mortality) of post-operative complications related to oxygen therapy | 24-h post-op and 30-d mortality |
Countries
Thailand