Postoperative Sore Research Articles

A Comparative Study of Cuff Pressure and Its Pressure Effects on the Incidence of Postoperative Cough, Sore Throat and Hoarseness between Air and Alkalinized Lignocaine for Inflating Endotracheal Tube Cuff in Non-Cardiac Surgeries Under General Anaesthesia

A Comparative Study of Cuff Pressure and Its Pressure Effects on the Incidence of Postoperative Cough, Sore Throat and Hoarseness between Air and Alkalinized Lignocaine for Inflating Endotracheal Tube Cuff in Non-Cardiac Surgeries Under General Anaesthesia

Novel Cervical Endoscopic Unilateral Laminoforaminotomy for Bilateral Decompression in Cervical Spondylosis Myeloradiculopathy: A Technical Note and Clinical Results.

Background: This study investigates the efficacy of the Cervical Endoscopic Unilateral Laminoforaminotomy for Bilateral Decompression (CE-ULFBD) technique in treating cervical myeloradiculopathy, primarily caused by degenerative spondylosis. Traditionally managed through multisegmental anterior cervical discectomy and fusion (ACDF) or laminoplasty combined with foraminotomy, this condition has recently experienced a promising shift towards minimally invasive approaches, particularly endoscopic spinal decompression. While empirical evidence is still emerging, these techniques show potential for effective treatment. Method: The objective was to evaluate the outcomes of CE-ULFBD in achieving single or multilevel bilateral foraminal and central decompression, emphasizing the reduction of injury to posterior cervical muscles and the associated postoperative neck soreness common in conventional procedures. This paper delineates the surgical procedures involved in CE-ULFBD and presents the clinical outcomes of nine patients diagnosed with myeloradiculopathy due to severe cervical stenosis. Result: Assessments were conducted using the Visual Analogue Scale (VAS) for neck and arm pain and the Modified Japanese Orthopaedic Association scale (mJOA) for the activity measurement of daily living. Results indicated a considerable decrease in pain levels according to the VAS, coupled with significant improvements in functional capacities as measured by the mJOA scale. Additionally, no major postoperative complications were noted during the follow-up period. Conclusion: The study concludes that CE-ULFBD is a safe and effective approach for the treatment of cervical myeloradiculopathy resulting from severe cervical stenosis, offering a viable and less invasive alternative to traditional decompressive surgeries.

The Effect of Topical Benzydamine Hydrochloride and Cuff Pressure Monitorization on Postoperative Sore Throat Due to Intubation.

Postoperative sore throat (POST) is the most common discomfort after endotracheal intubation. Damage to the tracheal mucosa caused by inappropriate endotracheal tube (ETT) cuff pressure has been shown as the major factor. Monitoring the ETT cuff pressure at a certain value reduces this damage. Benzydamine hydrochloride (BH) has proven to be effective on sore throat and studies have shown that it is also effective on POST. In this study, the efficacy of BH and ETT cuff pressure monitoring on POST was evaluated. After ethics committee approval 210 patients in the ASA (American Society of Anesthesiologists) I-III risk group undergoing elective surgery were included in the study. Routine anesthesia monitoring, induction, and maintenance were provided. Patients were randomly divided into three groups. Thirty minutes before surgery, the posterior pharyngeal wall was sprayed with BHin group 1and distilled water in groups 2 and 3. Intraoperatively, the first and second groups were monitored to keep the ETT cuff pressure between 22 and 26 cmH2O, while no intervention was performed in the third group. The incidence and severity of postoperative dysphagia, hoarseness, and POST were questioned. There was no difference between demographic data, and gender was not associated with POST. There was a statistically significant difference between the first and second groups and the third group in terms of all three symptoms questioned (p<0.01). No difference was observed between the first and second groups. Side effect rates were similar. Smoking was not found to be associated with symptoms. The incidence and severity of POST, dysphagia, and hoarseness are reduced when the ETT cuff is inflated with a pressure of 22-26 cmH2O after intubation with a manometer and maintained at this pressure range throughout the operation. There was no beneficial effect of BH.

The utilization of mechanical agitation of irrigation solution in endodontic treatment: case series

Aim. To evaluate the advantages of working with the Endoactivator device on the example of a series of clinical cases concerning the treatment of chronic apical periodontitis. Materials and methods. The series of clinical cases included five patients (two men and three women) who were treated for chronic apical periodontitis (diagnosis according to ICD-10 K04.5). The patients underwent endodontic treatment in two visits, namely, mechanical treatment with rotating nickel-titanium instruments, drug treatment using an Endoactivator device for sound activation of irrigation solutions and the introduction of calcium hydroxide between visits. Postoperative sensitivity was assessed according to the criteria: absent, low, medium and high. The patients informed the research doctors via messengers about the intensity of postoperative soreness. Results. Next results of postoperative sensitivity have been revealed: none of the patients noted high postoperative soreness, average soreness was noted by one patient, low soreness was noted by two patients and absence of soreness was noted by two patients. Conclusions: on the example of this series of clinical cases, convenient manipulation characteristics of the EndoActivator device were revealed. There were no cases of high postoperative sensitivity after operation of these devices in the presented series of cases. In all clinical cases, radiological methods confirm the positive dynamics of healing of periapical foci.

Comparison of the Effects of Pharyngeal Packing and Gastric Aspiration with an Orogastric Tube on Postoperative Nausea, Vomiting and Sore Throat in Septorhinoplasty

Comparison of the Effects of Pharyngeal Packing and Gastric Aspiration with an Orogastric Tube on Postoperative Nausea, Vomiting and Sore Throat in Septorhinoplasty

The Effect of Softening of Endotracheal Tubes on the Decrement of Postoperative Hoarseness and Sore Throat.

Hoarseness, cough, and sore throat are the most prevalent complications after removing patients' endotracheal tube and general anesthesia. Various methods have been proposed to reduce these complications after intubation. The present study aimed to assess the effect of softening the endotracheal tube with normal warm saline on reducing post-intubation complications such as sore throat and hoarseness. This double-blind, randomized controlled trial was performed on patients undergoing general anesthesia at Rasoul Akram and Firoozgar hospitals in Tehran, Iran. In the present study, 58 patients were randomly divided into 2 groups of 29 patients. All patients underwent the same premedication with fentanyl and lidocaine. Anesthesia was induced with propofol and atracurium. Three to 5 minutes after atracurium injection, the laryngoscopy test was performed. Randomly, some patients were intubated with a thermally softened endotracheal tube, and some were intubated with a normal tube. At the end of the operation, when the spontaneous breathing was adequate, and the patients could carry out oral instructions, the endotracheal tube was removed immediately after suctioning. All patients were evaluated for sore throat and hoarseness before discharge from recovery and 24 hours after surgery. The obtained data were analyzed using SPSS software package version 25. The mean incidence of sore throat in recovery in the intervention group (20.7%) decreased compared to the control group (75.8%). Moreover, the mean incidence of hoarseness in the intervention group (17.2%) decreased in comparison to the control group (41.4%, P < 0.029). Based on the data of our study, we observed that 24 hours after surgery, the mean incidence of sore throat among the patients of the intervention group was significantly lower compared to the control group, where patients in the intervention group did not feel any sore throat (P < 0.002). We also observed that 24 hours after surgery, the amount of hoarseness in the intervention group (3.4%) also decreased compared to the control group (24.1%, P < 0.022). Based on the results, it can be concluded that thermal softening of the endotracheal tubes with normal warm saline before intubation could be significantly effective in decrement of sore throat and hoarseness during recovery and 24 hours after surgery.

Minimizing complications following transinguinal preperitoneal modified Kugel mesh herniorrhaphy: a double blind prospective randomized clinical trial

Transinguinal preperitoneal (TIPP) single-layer mesh herniorrhaphy has been proven effective. Mesh manufacturers make either a single-unit, two-layer mesh design or a separate optional onlay with the pre-peritoneal mesh. For peace of mind, most surgeons still incorporate the optional onlay. This study evaluated any counterproductive effects of adding the onlay to single-layer TIPP mesh herniorrhaphy and compared the long-term efficacy. This prospective, single-surgeon, single-center, randomized trial compared two groups of 50 consecutive patients at a 1 to 1 ratio. The control group received a single-layer modified Kugel mesh in the preperitoneal space, while the study group received the optional onlay mesh in the inguinal canal with preperitoneal mesh placement. A single surgeon performed the same operation to place the preperitoneal mesh in both groups, the only difference being the placement of the optional onlay mesh in the study group. A blinded researcher performed post-operative interviews using a series of questions at 1, 3, 6, and 12 months after surgery, and another unblinded researcher organized and performed statistical analysis of the peri-operative and post-operative data. The primary endpoints included foreign body sensation, pain, and any other discomfort in the inguinal region following surgery; and the secondary endpoints included recurrence and any complications related to surgery. The patient demographics were similar between the two groups. The average follow-up period was 29 months. Two patients in the 1-layer group and one patient in the 2-layer group were lost to follow-up. Postoperative pain, numbness and soreness were similar between groups. No patients experienced a foreign body sensation after 3 months in the 1-layer group, while five patients still had a foreign body sensation at 12 months in the 2-layer group. No recurrence was noted in either group during the follow-up period. Adequate dissection of the preperitoneal space is the key to a successful single-layer TIPP herniorrhaphy. With decreased materials in the inguinal canal, single-layer TIPP has a lower rate of long-term postoperative discomfort without increasing the risk of future recurrence.Trial registration: ISRCTN 47111213

The Efficacy of Single-Dose Aescin in Preventing Postoperative Sore Throat Compared to Placebos: A Double-Blinded, Randomized Controlled Trial

Background: Postoperative sore throat (POST) is a common complication found in surgical patients undergoing general anesthesia with endotracheal tube (ETT). Its severity varies and may affect postoperative outcomes and patient satisfaction. Aescin is an extract from horse chestnut (Aesculus Hippocastanum) that possesses the anti-inflammatory, venous decongestion, and antiedema property with few side effects. Objective: To demonstrate the reduction of incidence and severity of POST in patients undergoing general anesthesia with ETT. Materials and Methods: One hundred and seventeen patients, ASA I and II undergoing general anesthesia with ETT with elective surgery (abdominal, breast, gynecological, orthopedics) in a university hospital were enrolled and allocated randomly to aescin (A) or placebo (P) group. Patients, investigators, and research assistants were blinded to the allocation. Patients in A group (n=58) received aescin (Reparil&reg;) 40 mg orally 2 to 6 hours prior to surgery and P group (n=59) received placebo. Anesthesia care was identical and under blinded staff anesthesiologist&rsquo;s discretion. The presence/absence of POST, numerical pain score of POST, adverse events and cumulative analgesics consumption were recorded postoperatively at 30, 60 minutes, 2, 4, and 24 hours. Results: Thirty-seven and 34 patients in A and P group, respectively, developed POST which was not different significantly at all time points. Numerical pain score at all time points did not differ between groups statistically. However, log-rank test analysis revealed that A group had a slightly more rapid recovery from POST than P group (0.0013 vs. 0.0007 case/person-minute, p=0.03). Side effects and analgesics consumption did not differ between groups. Conclusion: Single 40 mg oral dose of aescin preoperatively, compare to placebo, did not reduce the incidence or severity of POST in the first 24 postoperative hours. Aescin, however, hastened the speed of recovery of POST compare to placebo with statistical significance. Keywords: Aescin; Incidence; Postoperative sore throat; Reparil

Comparison of Intracuff Pressure and Postoperative Sore Throat Following Use of Laryngeal Mask Airway Protector With or Without Nitrous Oxide Anesthesia

PurposeIn general anesthesia, the laryngeal mask airway (LMA) is a frequently used effective option. The effect of nitrous oxide on intracuff pressure of the LMA and postoperative sore throat is well known; however, there are no studies related to the second-generation LMA Protector. The purpose of this study was to determine the differences in intracuff pressure and postoperative sore throat, depending on the use of nitrous oxide during general anesthesia using the LMA Protector. DesignThis randomized double-blind prospective study was conducted among 88 patients aged 20 to 70 years. MethodsThe cuff pressure started with a baseline of 40 cm H2O and was measured using a digital cuff pressure manometer for 30 minutes. Postoperative sore throat, dysphonia, dysphagia, and numeric rating scale scores were also recorded. FindingsOver time, the intracuff pressure of the nitrous oxide group increased significantly compared with that of the air group. Furthermore, postoperative sore throat and pharyngolaryngeal complications were not significantly different between the two groups. ConclusionsIntracuff pressure of the LMA Protector increased during anesthesia using nitrous oxide. When the anesthesia time was less than 2 hours, however, there was no difference in postoperative sore throat.

The Effects of Oral Care with Difflam Spray 0.3% and Sodium Bicarbonate-Normal Saline Solution on Postoperative Oral Comfort, Sore Throat, and Halitosis

The Effects of Oral Care with Difflam Spray 0.3% and Sodium Bicarbonate-Normal Saline Solution on Postoperative Oral Comfort, Sore Throat, and Halitosis

Effect of Preoperative Nebulised Dexamethasone and Nebulised Magnesium Sulphate on Postoperative Sore Throat in Prone Position Surgeries- A Randomised Double-Blind Study

Introduction: Postoperative Sore Throat (POST) is a frequently encountered complication after general anaesthesia with tracheal intubation and positional changes. Magnesium Sulphate (MgSO4) is a N-Methyl D-Aspartate (NMDA) receptor antagonist and dexamethasone is a glucocorticoid, both drugs helps in reducing POST by various mechanisms. Aim: To compare the effects of preoperative dexamethasone nebulisation vs preoperative MgSO4 nebulisation on sore throat in prone position surgeries. Materials and Methods: Eighty patients undergoing lumbar spine surgeries from October 2017 to April 2019, under general anaesthesia in prone position, were randomly allocated into two groups- A and B. Thirty minutes before surgery patients in each group were nebulised with respective drugs, dexamethasone 8 mg in group A and 250 mg of MgSO4 in group B. Haemodynamic parameters during laryngoscopy were noted. A standardised protocol for providing general anaesthesia was followed for all patients. After extubation, at 0, 4, 6 and 24 hours all patients were asked to grade POST, hoarseness and cough. The severity of POST was graded with four-point scale. Continuous variables were expressed as mean±SD and analysed using student t-test. The p-value &lt;0.05 was considered statistically significant. Results: The overall incidence of sore throat in dexamethasone group was 37.5% and 20% in MgSO4 group. The incidence (p=0.026) and severity (p=0.011) of POST was significantly decreased in MgSO4 group at 6 hours where none of the patient had sore throat compared to dexamethasone where 15 (37.5%) of them had sore throat (p=0.026). None of the patients had cough and hoarseness in both groups. Conclusion:Nebulisation with MgSO4preoperatively significantly decreases the incidence and severity of POST when compared to dexamethasone and there was no statistically significant haemodynamic variability between the two groups.

Comparison of local versus spinal anaesthesia in inguinal hernia repair

Background: Inguinal hernioplasty remain one of the most commonly performed operations worldwide. Local anaesthesia can be a preferred method in day-case hernia surgeries. Present study was thus conducted to determine whether local anaesthetic technique is an acceptable alternative to spinal anaesthesia for hernia repair, especially with regards to operative conditions, postoperative pain relief and complications.Methods: This was a prospective randomized single blinded clinical study consisting of sixty patients conducted after the ethical committee clearance. The patients posted for tension free lichtenstein elective hernioplasty were allocated to either of two groups, group A (n=30) were given local anaesthesia and patients in group B (n=30) were given spinal anaesthesia. The operative and postoperative pain sore using visual analogue scale, duration of surgery and any other complications were recorded.Results: There was no demographic difference between the two groups. Time taken in local anesthesia was higher than spinal anesthesia. Intraoperative pain was higher in local anesthesia than spinal anesthesia. There was no difference in post-operative pain scores (p&gt;0.05). Post-operative complications were more in spinal anesthesia group e.g. urinary retention, headache, etc.Conclusions: Local anesthesia can be another good choice for inguinal hernia repair owing to its advantages and less complications, but it can’t be confirmed that local anaesthesia is better than spinal anaesthesia. It can be reliably concluded that local anaesthesia can be a preferred method in day-case hernia surgeries owing to its advantages of ease of administration and less complications.

생리식염수를 이용한 흡입요법이 수술 후 갈증과 인후통에 미치는 효과

생리식염수를 이용한 흡입요법이 수술 후 갈증과 인후통에 미치는 효과

Two head positions for orotracheal intubation with the trachway videolight intubating stylet with manual in-line stabilization: A randomized controlled trial.

Background:The Trachway Videolight Intubating Stylet is a video-assisted system with a rigid but malleable intubating stylet that facilitates endotracheal intubation. Minimizing cervical spine movement with manual in-line stabilization is essential for patients with cervical spine injuries such as multiple trauma. However, the intubation time of the Trachway Videolight Intubating Stylet and complications associated with intubation in patients with manual in-line stabilization in the neutral-head and head-lift positions remain unclear.Methods:Patients (20–80 years old) who were scheduled to undergo surgery that required general anesthesia with tracheal intubation were randomly allocated to either a neutral-head (n = 62) or a head-lift position (n = 62) group. Manual in-line stabilization was performed to limit cervical spine mobility. We aimed to evaluate orotracheal intubation time and success rate in these 2 positions with the Trachway Videolight Intubating Stylet.Results:Intubation was faster in the head-lift than in the neutral-head position (20 ± 10 and 25 ± 13 seconds, respectively, P = .000); intubation was equally successful in the 2 positions (96.8% vs 96.8%). Responses to intubation did not differ between positions (heart rate, P = .142; visual analog scale scores for throat soreness, P = .54). The only significant predictor of intubation time was the body mass index in the head-lift position group (P = .005).Conclusions:Intubation using the Trachway Videolight Intubating Stylet with manual in-line stabilization is faster in the head-lift position, and therefore preferable. However, if the head-lift position is not suitable, the neutral-head position is a sensible alternative, with comparable intubation success rate, heart rate change, and postoperative throat soreness.

Comparing the Postoperative Sore Throat Incidence and Hemodynamic Changes after Using Macintosh and GlideScope Laryngoscopes and Laryngeal Mask Airway

Comparing the Postoperative Sore Throat Incidence and Hemodynamic Changes after Using Macintosh and GlideScope Laryngoscopes and Laryngeal Mask Airway

Betamethasone, Lignocaine and KY Gel Application over ET Tube to Reduce Postoperative Sore Throat, Cough and Hoarseness: A Comparative Study

Betamethasone, Lignocaine and KY Gel Application over ET Tube to Reduce Postoperative Sore Throat, Cough and Hoarseness: A Comparative Study

Impact of Endotracheal Tube Cuff Pressure on Postoperative Sore Throat: A Systematic Review and Meta-Analysis

Background: Endotracheal tube (ETT) is often necessary to achieve airway control during general anesthesia. Recent studies have showed that sore throat following endotracheal intubation is a common complaint after surgery. The objective of this systematic review and meta-analysis was to estimate whether ETT cuff pressure affects the incidence of postoperative sore throat (POST) after general anesthesia.Methods: The following databases were searched electronically: PubMed (updated to Nov 2015), EMBASE (updated to Nov 2015), World Health Organization International Clinical Trials Registry Platform (updated to Jul 2015), Chinese BioMedical Literature Database (1978 to Oct 2015), and China National Knowledge Infrastructure (1994 to Oct 2015). Trials comparing EET cuff pressure for elective surgery were included.Results: Three trials with a total of 609 patients were included in current analysis. Pool results from these trials showed that a lower ETT cuff pressure significantly decreased the incidence of POST at 24 hours after surgery (relative ratio [RR]=0.76, 95% confidence interval [CI] 0.61-0.95, P<0.05). However, there wasn't any difference between lower and higher cuff pressure on the incidence of POST in post-anesthesia care unit (PACU) (RR=1.00, 95% CI 0.31-3.25, P=1). A lower ETT cuff pressure was not associated with a lower incidence of postoperative hoarseness (PH) at 24 hours after surgery (RR=0.71, 95% CI 0.26-1.92, P=0.50) and in PACU (RR=1.07, 95% CI 0.59-1.93, P=0.82).Conclusion: Our meta-analysis suggested that lower ETT cuff pressure was associated with a lower incidence of POST in patients undergoing general anesthesia at 24 hours after surgery. However, the exact effect of ETT cuff pressure on patients undergoing general anesthesia deserves further studies. Citation: Bao-Ji Hu, Jian Xu, Xiao-Hong Zhao, Nan-Nan Zhang, Meng-Zhi Pan, Lu-Long Bo, Hong-Wei Duan. Impact of endotracheal tube cuff pressure on postoperative sore throat: a systematic review and meta analysis. J Anesth Perioper Med 2016; 3: 171-176. doi: 10.24015/JAPM.2016.0022This is an open-access article, published by Evidence Based Communications (EBC). This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium or format for any lawful purpose. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

Should the Spinous Process be Harvested as Bone Graft in Idiopathic Scoliosis Surgery?

Introduction The spinous process is commonly resected during posterior fusion of adolescent idiopathic scoliosis (AIS) to allow for a wider fusion bed and more local autologous bone graft. However, the spinous process is an important structure in the posterior ligament complex and anchors paraspinal muscles. With the development of pedicle screw instrumentation and the potential fusion ability in adolescents, the need for resecting the spinous process in this procedure should be further investigated. The purpose of this study is to compare the fusion rate, duration of surgery, blood loss, surgical outcomes and complications between harvesting and preserving the spinous process in posterior spinal fusion of AIS. Material and Methods From January 2003 to December 2008, 104 consecutive AIS patients who underwent primary posterior fusion with local autologous bone grafts and who were followed for a minimum of 24 months were reviewed. The patients were divided into a harvesting group ( n = 61) who had the spinous process harvested, and a preserving group ( n = 43) who had the spinous process preserved. Radiographic assessments of structural curves were reviewed pre-operatively, 3 days, and 3 and 6 months post-operatively, and then annually. Blood loss, duration of surgery, pseudoarthrosis, post-operative back pain and other complications were also recorded at these time points and compared between the two groups. Results There were no significant differences in the duration of surgery between the harvesting and preserving groups (216 ± 47 versus 224 ± 50 minutes, p = 0.40), however blood loss was significantly higher in the harvesting group was statistically higher (983 ± 446 ml) than in the preserving group (824 ± 361 ml; p = 0.048). The pre- and post-operative Cobb angles, correction rates, and loss of correction of the structure curves were similar in both groups. Based on radiographic evaluation, the incidence of pseudoarthrosis was similar in both groups (3/58 versus 2/41; p = 0.95). Post-operative back pain or soreness was significantly higher in the harvesting group (16/58 versus 4/43; p = 0.03). Conclusion The surgical outcomes and fusion rates between harvesting and preserving the spinous process were comparable, despite significantly lower blood loss and less back pain or soreness in the preserving group. Thus, resecting the spinous process as local autologous bone graft may not be necessary in posterior fusion for AIS patients.

Effect of Intracuff Lidocaine on Postoperative Sore Throat and the Emergence Phenomenon: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

BackgroundPostoperative sore throat and other airway morbidities are common and troublesome after endotracheal tube intubation general anesthesia (ETGA). We propose lidocaine as endotracheal tube (ETT) cuff inflation media to reduce the postintubation-related emergence phenomenon.MethodsWe searched PubMed, EMBASE, and Cochrane databases systematically for randomized controlled trials (RCTs) that have investigated the outcome of intracuff lidocaine versus air or saline in patients receiving ETGA. Using a random-effects model, we conducted a meta-analysis to assess the relative risks (RRs) and mean difference (MD) of the incidence and intensity of relevant adverse outcomes.ResultsWe reviewed nineteen trials, which comprised 1566 patients. The incidence of early- and late-phase postoperative sore throat (POST), coughing, agitation, hoarseness, and dysphonia decreased significantly in lidocaine groups, with RRs of 0.46 (95% confidence interval [CI]: 0.31 to 0.68), 0.41 (95% CI: 0.25 to 0.66), 0.43 (95% CI: 0.31 to 0.62), 0.37 (95% CI: 0.25 to 0.55), 0.43 (95% CI: 0.29 to 0.63), and 0.19 (95% CI: 0.08 to 0.5), respectively, when compared with the control groups. The severity of POST also reduced significantly (mean difference [MD] -16.43 mm, 95% CI: -21.48 to -11.38) at 1 h and (MD -10.22 mm, 95% CI: -13.5 to -6.94) at 24 h. Both alkalinized and non-alkalinized lidocaine in the subgroup analyses showed significant benefits in emergence phenomena prevention compared with the control.ConclusionOur results indicate that both alkalinized and non-alkalinized intracuff lidocaine may prevent and alleviate POST and postintubation-related emergence phenomena.

Effect of Intravenous Hydrocortisone on Preventing Postoperative Sore Throat Followed by Laryngeal Mask Airway Use in patients Undergoing Urogenital Surgeries.

Postoperative sore throat is a common complication which can lead to discomfort after operation and delay in patients' returning to normal daily activities. The present study was carried out to evaluate the influence of intravenous hydrocortisone on preventing postoperative sore throat followed by laryngeal mask airway use. Sixty patients who were scheduled to undergo urogenital surgery were divided into two groups. Five minutes before anesthesia induction, 100 mg of intravenous hydrocortisone or placebo with the same volume were given to the patients randomly. At the end of the operation and after LMAs were removed, patients were asked about having sore throat at hours 2, 4 and 24 after operation. There were three and six cases of sore throat after operation in hydrocortisone and in placebo groups respectively which showed no significant statistical difference (P=0.472). No cases of moderate or severe pain were reported in any of the patients in both groups and no statistically significant difference was observed regarding pain severity in recovery, hours 2, 4 or 24 after operation. Based on the statistical data obtained from this research, administrating intravenous hydrocortisone five minutes before anesthesia induction has no effect on postoperative sore throat severity and degree in urogenital surgeries.