Postoperative Sore Throat
Conditions
Keywords
endotracheal tube, sore throat, dysphagia
Brief summary
Postoperative sore throat (POST) is a common and undesirable postoperative symptom that causes patient dissatisfaction. Cold application is a non-invasive, non-pharmacological, cost-effective and effort-effective therapy for pain management. The aim of this study was to evaluate whether colding of ETT can reduce sore throat, dysphagia and dysphonia after endotracheal intubation.
Detailed description
The incidence of postoperative sore throat (POST) has been reported up to 62% following general anaesthesia.It is an undesirable events experienced by patients after general anaesthesia. Various pharmacological agents have been applied to reduce POST, such as lidocaine, ketamine, magnesium, corticosteroids or non-steroidal anti-inflammatory drugs. However, these agents may have some systemic and local side effects. Therefore, various non-pharmacological applications have been investigated to reduce sore throat. Cold application is a non-invasive, cost-effective and effort-effective therapy for pain management. Although the mechanism is not clearly known, it increases the pain threshold, slows cellular metabolism, causes vasoconstriction, and reduces capillary permeability. Therefore, we hypothesized that colding of endotracheal tube may decrease POST associated with airway inflammation. The aim of this study was to evaluate whether colding of ETT can reduce sore throat, dysphagia and dysphonia after endotracheal intubation. The goal of this study is to identify a simple, safe, and inexpensive perioperative intervention to reduce post operative sore throat. This study is a prospective, randomised study involving 116 subjects and they will assessed on the incidence and severity of sore throat, dysphagia and dysphonia at 1. 4. 12. 24. hours after removal of endotracheal tube. Outcomes from this study can be extended to patients who will be receiving general anaesthesia using a endotracheal tube to reduce the incidence and severity of sore throat.
Interventions
OTHERcold endotracheal tube
patients who were intubated with an ETT which kept in the fridge.
Sponsors
Baskent University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
Patients who were entubated with an ETT. Those who accept the research Elective surgery Patients in American Society of Anaesthesiologists (ASA) I and II class 18 years and over Mallampati classification I and II Operation time more than 1 hour
Exclusion criteria
Patients with sore throat and lower respiratory tract infection Patients with a history of allergies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the incidence of sore throat 1 hour after extubation. | 1 hour after extubation | Presence of sore throat defined as constant pain, independent of swallowing (0=no. 1=yes) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the incidence of sore throat 4 hour after extubation. | 4 hour after extubation | Presence of sore throat defined as constant pain, independent of swallowing (0=no. 1=yes) |
| the severity of sore throat 4 hour after extubation. | 4 hour after extubation | Severity will be graded by the patient as 0=null; 1=mild; 2=moderate; 3=severe |
| the incidence of sore throat 12 hour after extubation. | 12 hour after extubation | Presence of sore throat defined as constant pain, independent of swallowing (0=no. 1=yes) |
| the severity of sore throat 12 hour after extubation. | 12 hour after extubation | Severity will be graded by the patient as 0=null; 1=mild; 2=moderate; 3=severe |
| the severity of sore throat 1 hour after extubation. | 1 hour after extubation | Severity will be graded by the patient as 0=null; 1=mild; 2=moderate; 3=severe |
| the severity of sore throat 24 hour after extubation. | 24 hour after extubation | Severity will be graded by the patient as 0=null; 1=mild; 2=moderate; 3=severe |
| the incidence of dysphonia | 1 hour after extubation | Presence of dysphonia defined as difficulty or pain on speaking (0=no. 1=yes) |
| the incidence of dysphagia | 12 hour after extubation | Presence of dysphagia defined as difficulty or pain provoked by swallowing |
| the incidence of postoperative respiratory infection | 7 days after operation | Presence of respiratory infection symptoms such as cough, sputum, rhinorrhea, sore tongue, myalgia or fever |
| the incidence of sore throat 24 hour after extubation. | 24 hour after extubation | Presence of sore throat defined as constant pain, independent of swallowing (0=no. 1=yes) |
Countries
Turkey (Türkiye)
Outcome results
None listed