A COMPARISON OF EFFICACY OF BETAMETHASONE GEL V/S LIGNOCAINE JELLY APPLIED OVER ENDOTRACHEAL TUBE CUFF AS PROPHYLAXIS AGAINST INTUBATION ASSOCIATED THROAT COMPLICATIONS
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Keywords
Intubation associated throat complications, betamethasone, Lignocaine, ETT cuff.
Abstract
BACKGROUND: This study was undertaken to compare the effectiveness of application of an endotracheal tube cuff with betamethasone gel and lignocaine jelly in reducing the incidence and severity of postoperative sore throat,hoarseness and cough.
METHODS: After receiving approval from the institutional ethics committee and signed informed consent from the study participants, a prospective comparative study based in a hospital was carried out among 100 patients (50 in each groups) who underwent for elective chest, limb & abdominal surgeries under general anesthesia at the Department of Anaesthesiology, Government Medical College, Thrissur, between January 2021 and January 2022.100 patients will be divided into two equal groups – group B is betamethasone group, who will receive betamethasone 0.05% water miscible gel applied over ETT and group D is lignocaine group,who will receive lignocaine 2% water miscible jelly applied on ETT & In the post-anaesthesia care unit, a blinded anaesthesiologist will interview all patients on postoperative sore throat, cough, and hoarseness of voice at 1, 6, 12, and 24 hours after operation using the four point scales.
RESULTS: The severity of post-operative sore throat, severity of hoarseness and post extubation cough among the two groups showed Group D and Group B had most of them in minimal sore throat at 1-hour post op, but moderately sore throat was higher in group D. Similar pattern was seen in 6 hours, 12 hours and 24 hours; this was statistically significant.Hence Betamethasone (group B) usage for endotracheal intubation showed to be better than Lignocaine (group D) when compared to severity of post-operative sore throat, severity of hoarseness and post extubation cough.
CONCLUSION: The study's findings also show that, Betamethasone (group B) usage for endotracheal intubation showed to be better than Lignocaine (group D) when compared to severity of post-operative sore throat, severity of hoarseness and post extubation cough.
References
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DR.Sajin C S
Senior Resident, Department of Anaesthesiology, Government Medical College, Thrissur, Kerala, India.
DR.Sunil M
Associate Professor, Department of Anaesthesiology, Government Medical College, Thrissur, Kerala, India.
DR.Arun Varghese
Assistant Professor, Department of Anaesthesiology, Government Medical College, Thrissur, Kerala, India.
DR.Murali C J
Assistant Professor, Department of Anaesthesiology, Government Medical College, Thrissur, Kerala, India.