Abstract
Objective: The basic objective is to evaluate the impacts of placing stylet during tracheal intubation on the post-operative pharyngeal pain in anesthetized patients. Methodology: This randomized control trail was conducted in the department of Anesthesia and ICU, Ch. Pervaiz Ellahi Institute of Cardiology and Nishter Hospital Multan from May 2017 to December 2018. All these patients were divided into two groups group S (stylet group) and group C (control group) by lottery method. All the data was entered and analyzed by the computer software SPSS version 23.2. Results: A total number of 100% (n=386) patients were included in this study, both genders. Gender distribution showed that there were more males than females i.e. 56.2% (n=217) and 43.8% (n=169) respectively. The main outcome variables of this study were pharyngeal pain, airway maintenance and sore throat. It was also noted that group (S) showed easy airway maintenance in 95.9% (n=185) patients. It was observed that, in group (S), 63.2% (n=122) patients were complained from sore throat and 67.4% (n=130) were complained about pharyngeal pain. While on the other hand, in group (C), only 8.3% (n=16) patients were complained about sore throat and 11.4% (n=22) were complained about pharyngeal pain Conclusion: Use of stylet during endotracheal intubation decreases the incidences multiple attempts and make the airway maintenance easy for the anesthetist but on the other side it have complications like sore throat and post intubation pharyngeal pain than those patients in which stylet was not usede. Keywords: Pharyngeal pain, Tracheal Intubation, Stylet, Post-operative. DOI : 10.7176/JMPB/53-05 Publication date :March 31 st 2019
Highlights
Tracheal intubation is very well known and useful procedure in the general anesthesia[1]
While on the other hand, in group (C), only 8.3% (n=16) patients were complained about sore throat and 11.4% (n=22) were complained about pharyngeal pain Conclusion: Use of stylet during endotracheal intubation decreases the incidences multiple attempts and make the airway maintenance easy for the anesthetist but on the other side it have complications like sore throat and post intubation pharyngeal pain than those patients in which stylet was not usede
Ketz and Berci[4] used a term optical stylet for a straight and rigid device which is helpful in Endotracheal intubation
Summary
Tracheal intubation is very well known and useful procedure in the general anesthesia[1]. In. Ketz and Berci[4] used a term optical stylet for a straight and rigid device which is helpful in Endotracheal intubation. Ketz and Berci[4] used a term optical stylet for a straight and rigid device which is helpful in Endotracheal intubation This is very helpful in early airway maintenance. Stylets are designed to allow oxygen passage, route for drug administration and suction facility because as diameter of stylet increases size of tracheal tube shortens[6]. In difficult airways it is very helpfull to reduce number of attempts for intubation and easy airway management[7]. Efficacy of styles and anesthetist satisfaction about has been reported in many studies, but at the same time it was reported that light obstruction with secretion increase the number attempts. Patients should be asked for coughing and huffing properly in pre intubation time to avoid hurdles due to secretions
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