THE EFFECT OF INTRACUFF LIDOCAINE ON COUGH, BUCKING AND LARYNGO-SPASM
DURING EMERGENCE FROM GENERAL ANESTHESIA

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ALAVI S.M.; MAHJOUBIFARD M.; PANAHIPOUR A.A.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2003 | Volume:24 | Issue:43 Page(s): 49-56

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Title

THE EFFECT OF INTRACUFF LIDOCAINE ON COUGH, BUCKING AND LARYNGO-SPASM DURING EMERGENCE FROM GENERAL ANESTHESIA

Author(s)

ALAVI S.M. | MAHJOUBIFARD M. | PANAHIPOUR A.A. | Issue Writer Certificate

Keywords

SUPA ENDOTRACHEAL TUBEQ3

INTRA CUFF LIDOCAINEQ4

GENERAL ANESTHESIAQ4

COUGHQ3

BUCKQ4

LARYNOGOSPASMQ4

Abstract

Post extubation COUGH and LARYNOGOSPASM and also BUCKing (straining) during emergence from anesthesia can be associated with hemodynamic changes in arterial oxygen saturation (SPa02). Recent studies have revealed that Lidocaine can diffuse across endotracheal cuff membrane and alkalinization and warming of Lidocaine can increase this capability.We decided to determine whether inflating the "SUPA" endotracheal tube's cuff with lidocaine could create a reservoir of local anesthetic, which might diffuse across the cuff membrane to anesthetize the mucosa thus attenuating stimulation during extubation.A total of 120 patients undergoing elective surgery were enrolled in a double blind randomized clinical trial, and occurrence of COUGH, BUCKing and laryngospasm noted were in four groups with endotracheal tube cuffs inflated with air, lidocaine 4%, alkalinized lidocaine 4%.Data were analyzed with SPSS windows with chi test and fisher test. There was no differece in study data between air and saline and so between lidocaine 4% and alkalinized lidocaine 4% group. Inflation of cuff with lidocaine was associated with significant decrease in occurrence of COUGHing and BUCKing compared to air and saline groups. There was no case of laryngospasm in lidocaine groups. Inflation of the "SUPA" Endotracheal tube cuff with lidocaine can significantly decrease occurence of COUGHing, straining and probably laryngospasm after extubation.

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APA: Copy

ALAVI, S.M., MAHJOUBIFARD, M., & PANAHIPOUR, A.A.. (2003). THE EFFECT OF INTRACUFF LIDOCAINE ON COUGH, BUCKING AND LARYNGO-SPASM DURING EMERGENCE FROM GENERAL ANESTHESIA. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 24(43), 49-56. SID. https://sid.ir/paper/63375/en

Vancouver: Copy

ALAVI S.M., MAHJOUBIFARD M., PANAHIPOUR A.A.. THE EFFECT OF INTRACUFF LIDOCAINE ON COUGH, BUCKING AND LARYNGO-SPASM DURING EMERGENCE FROM GENERAL ANESTHESIA. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2003;24(43):49-56. Available from: https://sid.ir/paper/63375/en

IEEE: Copy

S.M. ALAVI, M. MAHJOUBIFARD, and A.A. PANAHIPOUR, “THE EFFECT OF INTRACUFF LIDOCAINE ON COUGH, BUCKING AND LARYNGO-SPASM DURING EMERGENCE FROM GENERAL ANESTHESIA,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 24, no. 43, pp. 49–56, 2003, [Online]. Available: https://sid.ir/paper/63375/en

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