Comparison Between Lidocaine Inhalation and Intravenous Dexamethasone in Reducing Postoperative Sore Throat Frequency After Laryngeal Mask Insertion

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Chandra Susilo; Pryambodho Pryambodho; Melati Annemarie Chrysantia; Kusuma Rizki Iwan

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Journal: Anesthesiology and Pain Medicine Year:2018 | Volume:8 | Issue:5 Page(s): 0-0

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Title

Comparison Between Lidocaine Inhalation and Intravenous Dexamethasone in Reducing Postoperative Sore Throat Frequency After Laryngeal Mask Insertion

Author(s)

Chandra Susilo | Pryambodho Pryambodho | Melati Annemarie Chrysantia | Kusuma Rizki Iwan | Issue Writer Certificate

Keywords

Laryngeal Mask Airway

Sore Throat

Lidocaine

Dexamethasone

Abstract

Background: The frequency of postoperative Sore Throat (POST) after Laryngeal Mask Airway insertion (LMA) was relatively high. Lidocaine might reduce the pain and inflammatory response. Additionally, inhalation form might result in a better distribution, which results in a better airway analgesia and minimal systemic effect. Objectives: To compare the incidence of Sore Throat post LMA insertion after 1. 5 mg/kg of Lidocaine inhalation and 10 mg of intravenous Dexamethasone. Methods: This was a single-blinded randomized clinical trial, which included 128 patients who underwent ophthalmic surgery under general anesthesia with LMA insertion. Inclusion criteria were individuals 18-65 years old, ASA 1 or 2, Mallampati class I or II, and no Sore Throat before surgery. After University of Indonesia Research Ethical Committee approval and informed consent, all subjects were randomly divided into two groups: Lidocaine inhalation group, which would receive Lidocaine inhalation 2% 1. 5 mg/kg (additional NaCl 0. 9% until total 6 mL volume) and intravenous 2 mL NaCl 0. 9%, and Dexamethasone group, which would received NaCl 0. 9% inhalation (6 mL volume) and Dexamethasone 10 mg intravenously 10 minutes before LMA insertion. POST incidence and pain severity assessment were done 2 hours postoperatively. Statistical analysis were done with SPSS version 21. Results: There were 10. 9% of subjects in the Lidocaine inhalation group and 9. 4% subjects in the Dexamethasone group who suffer from POST postoperatively (P > 0. 05). The median of POST pain in the Lidocaine inhalation group was 0 (0-1), whereas in Dexamethasone group it was 0 (0-3). This study did not find any side effects on both groups. Conclusions: Lidocaine inhalation 1. 5 mg/kg was proportional to intravenous Dexamethasone 10 mg in reducing the incidence and severity of POST after LMA insertion.

Cites

Evaluation of the effect of intratracheal ketamine on sore throat after intubation in patients undergoing strabismus surgery

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APA: Copy

Chandra, Susilo, Pryambodho, Pryambodho, Melati, Annemarie Chrysantia, & Kusuma, Rizki Iwan. (2018). Comparison Between Lidocaine Inhalation and Intravenous Dexamethasone in Reducing Postoperative Sore Throat Frequency After Laryngeal Mask Insertion. ANESTHESIOLOGY AND PAIN MEDICINE, 8(5), 0-0. SID. https://sid.ir/paper/768942/en

Vancouver: Copy

Chandra Susilo, Pryambodho Pryambodho, Melati Annemarie Chrysantia, Kusuma Rizki Iwan. Comparison Between Lidocaine Inhalation and Intravenous Dexamethasone in Reducing Postoperative Sore Throat Frequency After Laryngeal Mask Insertion. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2018;8(5):0-0. Available from: https://sid.ir/paper/768942/en

IEEE: Copy

Susilo Chandra, Pryambodho Pryambodho, Annemarie Chrysantia Melati, and Rizki Iwan Kusuma, “Comparison Between Lidocaine Inhalation and Intravenous Dexamethasone in Reducing Postoperative Sore Throat Frequency After Laryngeal Mask Insertion,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 8, no. 5, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/768942/en

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