EFFECT ASSESSMENT OF FILLING ENDOTRACHEAL TUBE CUFF WITH LIDOCAINE ON EMERGENCE REACTIONS AFTER GENERAL ANESTHESIA

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ADLI E.; MEHRAEEN A.; EGHTESADI ARAGHI P.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2004 | Volume:25 | Issue:46 Page(s): 49-56

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Title

EFFECT ASSESSMENT OF FILLING ENDOTRACHEAL TUBE CUFF WITH LIDOCAINE ON EMERGENCE REACTIONS AFTER GENERAL ANESTHESIA

Author(s)

ADLI E. | MEHRAEEN A. | EGHTESADI ARAGHI P. | Issue Writer Certificate

Keywords

BUCKINGQ3

CUFFED ENDOTRACHEAL TUBEQ4

LIDOCAINEQ3

LIDOCAINE-BICARBONATEQ4

HEMODYNAMIC CHANGESQ2

Abstract

After intubation, inflating a cuff around the endotracheal tube maintains a seal, which can result in BUCKING during emergence from anesthesia that accounts one of the most common clinical problems. We sought to evaluate the effect of filling an endotracheal tube cuff with LIDOCAINE as a reservoir in order to aneshetize the mucosa and attenuating stimulation during extubation of the trachea.A total of 90 patients with ASA Class I-II undergoing elective surgery were enrolled in a prospective, randomized. double-blinded study and divided to three groups (n=30. each group).After intubation of the trachea with an endotracheal tube, the cuff of the tube was filled with either 5 ml saline 0.9%, LIDOCAINE or 4 ml LIDOCAINE 4% plus 1 ml bicarbonate. After extubation, a blinded observer noted heart rate, blood pressure, severity and the incidence of BUCKING. Data were analyzed by using analysis of variance, Student's t-test, and the Kruskal-Wallis test for multiple variables.The groups were demographically comparable (p>0.05). Increasing of heart rate, blood pressure, severity and the incidence of BUCKING and incidence of sore throat were significantly lower in LIDOCAINE, LIDOCAINE -Bicarbonate compared to normal saline (p<0.05).We conclude that inflation of the cuff of the endotracheal tube can reduce the incidenceof BUCKING and HEMODYNAMIC CHANGES.

Cites

COMPARISON OF POST EXTUBATION COMPLICATIONS IN 3 DIFFERENT STATES OF FILLING ENDOTRACHEAL TUBE CUFF WITH LIDOCAINE 4% IN ELECTIVE SURGERY PATIENTS

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APA: Copy

ADLI, E., MEHRAEEN, A., & EGHTESADI ARAGHI, P.. (2004). EFFECT ASSESSMENT OF FILLING ENDOTRACHEAL TUBE CUFF WITH LIDOCAINE ON EMERGENCE REACTIONS AFTER GENERAL ANESTHESIA. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 25(46), 49-56. SID. https://sid.ir/paper/63489/en

Vancouver: Copy

ADLI E., MEHRAEEN A., EGHTESADI ARAGHI P.. EFFECT ASSESSMENT OF FILLING ENDOTRACHEAL TUBE CUFF WITH LIDOCAINE ON EMERGENCE REACTIONS AFTER GENERAL ANESTHESIA. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2004;25(46):49-56. Available from: https://sid.ir/paper/63489/en

IEEE: Copy

E. ADLI, A. MEHRAEEN, and P. EGHTESADI ARAGHI, “EFFECT ASSESSMENT OF FILLING ENDOTRACHEAL TUBE CUFF WITH LIDOCAINE ON EMERGENCE REACTIONS AFTER GENERAL ANESTHESIA,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 25, no. 46, pp. 49–56, 2004, [Online]. Available: https://sid.ir/paper/63489/en

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