Open AccessAlkalinized Lidocaine Preloaded Endotracheal Tube Cuffs Reduce Emergence Cough After Brief Surgery: A Prospective Randomized Trial
Author(s) -
Papu Nath,
Stephan Williams,
Luis Fernando Herrera Méndez,
Nathalie Massicotte,
François Girard,
Monique Ruel
Publication year - 2018
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000002647
Subject(s) - medicine , anesthesia , lidocaine , intubation , rocuronium , fentanyl , cuff , saline , sufentanil , desflurane , endotracheal tube , cough reflex , surgery , randomized controlled trial , airway , propofol
Alkalinized lidocaine in the endotracheal tube (ETT) cuff decreases the incidence of cough and throat pain on emergence after surgery lasting more than 2 hours. However, alkalinized lidocaine needs 60-120 minutes to cross the ETT cuff membrane; therefore, its usefulness in shorter duration surgery is unknown. This prospective double-blind randomized controlled trial tested the hypothesis that alkalinized lidocaine would reduce the incidence of emergence cough after surgeries lasting <120 minutes.