English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Post operative sore throat (POST) is a common post operative complaint following general anaesthesia with endotracheal intubation. Its incidence ranges from 30-75%. It may cause significant post operative morbidity and patient dissatisfaction. Aim: The aim of the study is to evaluate the efficacy of ketamine and lignocaine nebulization. Materials and Methods: This study is a Prospective randomised control study. After obtained Institutional Ethical Committee approval and written informed consent, 90 adult patients were randomized into three groups each consists of 30 participants. Group K received ketamine 50mg with 4ml of normal saline, Group B received lignocaine 2% 2ml with 2ml of normal saline nebulization 15 mins before induction and Group C did not receive any nebulization and is a control group.Postoperative sorethroat was monitored based on four point scale at immediate, 2, 4, 8, 12 and 24 hrs. Results: The Severity of postoperative sorethroat was less in lignocaine and ketamine group compared to control group.On follow up for 24 hours, ketamine group provides better relief in sorethroat compared to lignocaine group.Hemodynamic parameters were comparable in all three groups. Conclusion: Ketamine nebulization and lignocaine nebulization provides less discomfort to the patient and the severity of sore throat was less over 24 hrs in the post operative period. To conclude ketamine nebulization provides better relief of post operative sore throat when compared to lignocaine nebulization and no nebulization. Introduction Sore throat is a common postoperative complaint occurs in adults in the post operative period following general anaesthesia with endotracheal intubation. Irritation and inflammation of the airway are considered to be the causes of post operative sore throat. There are pharmacological and non pharmacological methods to decrease the incidence and severity of post operative sore throat. The following factors influences the incidence of post operative sore throat, which includes Experience of anaesthetist, adequate relaxation of the patient, careful insertion technique, soft suction catheters, smaller tracheal tubes, minimal cuff-tracheal contact area, monitoring and adjustment of intracuff pressure and avoidance of local anaesthetic /steroid lubricants. Various methods to alleviate postoperative sorethroat has been reported in the literature. There are variable causes that can aggrevate sorethroat such as patient related factors, type of anesthesia and type of surgery. Steroids are commonly used intraoperatively to reduce airway edema and inflammation.Ketamine gargling has been used for sorethroat but due to risk of aspiration, palatability limits its usage. Lignocaine jelly applied over tracheal tube cuff may reduce sore throat but because of inaccuracy of instilled drug and short duration of action some additional management has to followed for postoperative sorethroat. Nebulization of lignocaine and ketamine prior to general anaesthesia confers good tube tolerability to patient as entire air passages is anaesthetized and attenuates sorethroat after extubation Dexamethasone has been used to reduce the incidence of post operative sore throat. There is a reduction in incidence of sore throat following tracheal intubation after gargle with lignocaine or ketamine before induction of anaesthesia. Materials and Methods The study was approved by Institutional Ethical Committee and Patients were randomly allocated to Group K, Group B and Group C each group consists of 30 participants by computer generated random numbers. The anesthesiologist taking up the case is blinded to type of nebulization given to the patients. Article Info Received: 31st March, 2019 Accepted: 13th May, 2019 Published Online: 22nd August, 2019

Comparison of efficacy of Nebulized ketamine versus lignocaine for postoperative sorethroat