Comparaison de l’application locale de corticoïdes et de lidocaïne dans la prévention des douleurs pharyngolaryngées post-intubation

Abstract

Objective. – We assessed the efficacy of topical methylprednisolone or lidocaine for prevention of postoperative sore throat. Study design. – Randomised, prospective in single blind study. Patients and methods. – Sixty patients ASA 1 or 2 undergoing tracheal intubation for dental surgery received before intubation either topical lidocaine 5% (15 puffs) or aerosolized methylprednisolone (80 mg). Postoperative pain was assessed by the patients using a VAS and a specific scoring system for sore throat, cough and hoarseness. Evaluations were performed immediately after emergence from anaesthesia, 1 h later, at time of the first postoperative drink, at time of the first postoperative meal and 24 h after surgery. Results. – Patients receiving methylprednisolone showed slightly better scores for sore throat and cough 1 h after surgery. Conclusion. – Topical methylprednisolone may therefore be a useful adjuvant in the prevention of sore throat after intubation.