Cough
Conditions
Brief summary
The goal of this randomized controlled trial is to compare the effect of lidocaine bolus intravenous administration to lidocaine continuous intravenous administration in post thyroidectomy patients to observe the effect against post-extubation cough. The main questions it aims to answer are: * Cough incidence on both groups * Which method is preferable to reduce post-extubation cough incidence
Interventions
Lidocaine given as bolus or continuous infusion.
Sponsors
Study design
Intervention model description
Comparison
Eligibility
Inclusion criteria
* ASA class 1 and 2 * Thyroidectomy patients in Hasan Sadikin Bandung Hospital
Exclusion criteria
* Subjects' refusal * Had history of drug allergy, specifically lidaocaine * Had history of asthma or other lung diseases * Active smoker * History of arrhythmia * Bradycardia subjects (\<60 beats per minute) * Pregnant people * Perioperative upper respiratory tract infusion * Routinely consume ACE inhibitor / bronchodilators / steroid * Renal dysfunction * Liver dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-Extubation Cough Grade | 24 hours post operative | Cough graded according to the following criteria: Grade 0: no cough; Grade 1: mild, only 1 cough; Grade 2: moderate, \>1 cough lasting \<5 seconds; Grade 3: coughing heavily and continuously for \>5 seconds) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participant experiencing tachycardia | 24 hours perioperative | Tachycardia is defined as heart rate \>100 beats per minute |
| Number of participant experiencing bradycardia | 24 hours perioperative | Bradycardia is defined as heart rate \<60 beats per minute |
| Number of participant experiencing hypertension | 24 hours perioperative | Increase of blood pressure \>20% from initial blood pressure |
| Number of participant experiencing hypotension | 24 hours perioperative | Decrease of blood pressure \<20% from initial blood pressure |
Countries
Indonesia