Mohammad Alipour; Vida Jahanian; Zahra Momtaz Kaffash; Elham Bakhtiari; Abolfazl Akbari
Abstract
Introduction: The use of a laryngeal mask airway is associated with complications, such as a sore throat. This study aimed to evaluate the effect of taking the licophar pill on reducing sore throat due to laryngeal mask implantation in cataract surgery candidates.
Methods: In this study, 241 patients ...
Read More
Introduction: The use of a laryngeal mask airway is associated with complications, such as a sore throat. This study aimed to evaluate the effect of taking the licophar pill on reducing sore throat due to laryngeal mask implantation in cataract surgery candidates.
Methods: In this study, 241 patients over 18 years of age with cataract surgery and ASA Ι or ΙΙ were randomly divided into the intervention and control groups. The intervention group received one licophar pill half an hour before surgery; however, the control group received nothing. The sore throat severity was measured 1, 3, 6, 12, and 24 h after surgery using the Visual-Analogue Scale (VAS). The data were analyzed in SPSS software (version 16).
Results: Out of 241 patients, 120 cases received licophar pills. There was no significant difference between the two groups in terms of gender; however, the mean age was lower in the control group. On the other hand, the rate of sore throat was significantly higher in the control group, compared to the intervention group. In addition, postoperative pain scores in the intervention vs. control group 1, 3, 6, 12, and 24 h were 0.466 (1.454) vs. 3.842 (3.359), 0.383 (1.298) vs. 3.280 (3.056), 0.275 (1.102) vs. 2.694 (2.580), 0.200 (0.890) vs. 2.074 (2.271), and 0.108 (0.574) vs. 1.429 (1.714), respectively. Moreover, 103 and 40 patients in the intervention and control groups reported no pain (VAS=0), respectively, 1 h after surgery.
Cocclusion: The present study showed that the use of licophar lozenge half an hour before surgery has a significant effect on reducing postoperative sore throat.
Mohsen Sabermoghaddam; Elham Bakhtiari; Mohammad Alipour
Abstract
Intoduction: Sore throat is a common postoperative complication in patients undergoing general anesthesia. Several factors contribute to this complication, and the airway management method plays a pivotal role in this regard. The present study aimed to assess the effect of diphenhydramine gargling on ...
Read More
Intoduction: Sore throat is a common postoperative complication in patients undergoing general anesthesia. Several factors contribute to this complication, and the airway management method plays a pivotal role in this regard. The present study aimed to assess the effect of diphenhydramine gargling on sore throat in patients undergoing cataract surgery with laryngeal mask insertion. Methods: This placebo-controlled, double-blind, clinical trial was conducted on two groups of intervention and control. The patients in the intervention group gargled 8 cc (20 mg) of diphenhydramine diluted to 20 cc with normal saline 20 minutes before anesthesia induction. The control group patients gargled 20 cc of normal saline 20 minutes before anesthesia induction. The score of sore throat severity was determined based on the visual analogue scale during recovery three, six, 12, and 24 hours postoperatively. Results: Initially, 176 candidates of eye surgery using laryngeal mask airway (LMA) were enrolled in the study, and three patients were excluded from the intervention group due to withdrawal. In the intervention group, 36 patients (42.9%) were female, and 48 patients (57.1%) were male. In the control group, 46 patients (52.3%) were female, and 42 patients (47.7%) were male. The mean age of the subjects was 59.5±16.74 and 57.94±15.74 years in the intervention and controls groups, respectively. No significant differences were observed between the groups in terms of age and gender (P=0.53 and P=0.29, respectively). The mean score of pain severity was 0.3±0.14 and 1.7±0.14 in the intervention and control groups, respectively, which indicated a significant difference between the groups at each measurement point (P<0.001). However, the reported pain severity scores were not correlated with age, gender, mask size, and duration of surgery. Conclusion: Gargling 20 milligrams of diphenhydramine suspension 20 minutes prior to LMA insertion in the patients undergoing eye surgery significantly reduced the post-anesthesia sore throat compared to the control group. Moreover, sore throat had no associations with the age, gender, duration of surgery, and mask size of the patients.
Mohammad Gharavi Fard; Mohsen Akhondi
Abstract
Introduction: The present study aimed to compare the conventional and new techniques of laryngeal mask airway (LMA) insertion in terms of the rate and severity of postoperative sore throat.Methods: This clinical trial was conducted on 80 patients referring to Khatam-ol Anbia Hospitalin Mashhad, Iran ...
Read More
Introduction: The present study aimed to compare the conventional and new techniques of laryngeal mask airway (LMA) insertion in terms of the rate and severity of postoperative sore throat.Methods: This clinical trial was conducted on 80 patients referring to Khatam-ol Anbia Hospitalin Mashhad, Iran for phacoemulsification. The patients underwent general anesthesia, and the conventional technique was performed by pushing down the LMA with the dominant hand with the simultaneous support of the index finger of the dominant hand. In addition, the new technique was carried out by conducting the LMA with the dominant hand and simultaneous use of the non-dominant hand to prevent the contact of the cuff with the palate and oropharynx tissues. All the variables were assessed one day after the operation. Results: The rate of postoperative sore throat was 7.5% in the conventional technique and 1.25% in the new technique. Comparison of the rate of postoperative sore throat between the study groups showed a significant difference in this regard (P=0.048). The overall rate of postoperative sore throat one day after the operation was 3.75%, while it was estimated at 3.75% in the conventional technique. However, comparison of the rate of postoperative sore throat between the study groups demonstrated no significant difference in this regard (P=0.077). Conclusion: Considering the higher effectiveness of the new LMA insertion technique compared to the conventional one technique in the prevention of preventing mucosal bleeding and postoperative sore throat, the new this technique is recommended as a can be used as a safe alternative to for the conventional technique. In the new LMA insertion technique, the this method, the rate of postoperative sore throat decreased due to the declined diminished due to reduced pressure on the tissues of the oropharynx tissues.