Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 12, Issue 1 (3-2023)
J Emerg Health Care 2023, 12(1): 30-36 |
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Vatankhah M, Adibi P, Sadeghzadeh H, Zarei T. Comparison Of The Effects Of Two Methods Of Using Lidocaine Gel And Lubricant Gel During Placement Of A Laryngeal Airway Mask On Hemodynamic Symptoms During Orthopedic Surgery. J Emerg Health Care 2023; 12 (1) :30-36
URL: http://intjmi.com/article-1-953-en.html
URL: http://intjmi.com/article-1-953-en.html
Department of Anesthesiology, Anesthesiology, Critical Care and Pain Management Research Center, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Abstract: (1657 Views)
Background:Complications of intubation are almost common and include up to 4% of all patients, LMA is used to maintain the airway and spontaneous breathing or control during short-term surgeries. During surgery, patients experience hemodynamic changes in systolic and diastolic blood pressure and heart rate after inflating the LMA tube cuff. Therefore, the present study was conducted with the aim of comparing the effect of two methods of using lidocaine gel and lubricant gel during placement of a laryngeal airway mask on hemodynamics during orthopedic surgery.
Methods: This study was a double-blind randomized controlled clinical trial that was conducted during a one-year period from 2021 to 2022 in patients referred to Shahid Mohammadi Hospital for orthopedic surgery. Patients were randomly divided into two groups of 50 patients (lubricant gel group and lidocaine gel group during LMA operation). When the patient entered the operating room and was placed on the operating bed, the patient's vital signs including systolic, diastolic, mean arterial blood pressure and heart rate were checked before the start of anesthesia. The mentioned vital signs were checked before induction, one minute, five minutes, thirty minutes and upon entering the recovery room and recorded in the data collection form.
Results: The results showed that the studied groups did not have significant differences in terms of factors affecting the response to drugs such as age and gender. Also, hemodynamic changes in both groups were not statistically significant (P>0.05).
Conclusion: In terms of hemodynamic changes, the use of lidocaine gel during LMA operation in patients undergoing orthopedic surgery was not observed with the group using lubricant gel.
Methods: This study was a double-blind randomized controlled clinical trial that was conducted during a one-year period from 2021 to 2022 in patients referred to Shahid Mohammadi Hospital for orthopedic surgery. Patients were randomly divided into two groups of 50 patients (lubricant gel group and lidocaine gel group during LMA operation). When the patient entered the operating room and was placed on the operating bed, the patient's vital signs including systolic, diastolic, mean arterial blood pressure and heart rate were checked before the start of anesthesia. The mentioned vital signs were checked before induction, one minute, five minutes, thirty minutes and upon entering the recovery room and recorded in the data collection form.
Results: The results showed that the studied groups did not have significant differences in terms of factors affecting the response to drugs such as age and gender. Also, hemodynamic changes in both groups were not statistically significant (P>0.05).
Conclusion: In terms of hemodynamic changes, the use of lidocaine gel during LMA operation in patients undergoing orthopedic surgery was not observed with the group using lubricant gel.
References
1. 1. Kori K, Muratani T, Tatsumi S, Minami T. Influence of endotracheal tube cuff lubrication on postoperative sore throat and hoarseness. Masui. 2009: 58(3):342-5.
2. Henderson J. Airway Management in Adult. In: Miller RD. Millers Anesthesia, 7th ed. Churchill Livingston. 2010: 1573-1610.
3. Bennett MH, Isert PR, Cumming RG. Postoperative sore throat and hoarseness following tracheal intubation using air or salineto inflate the cuff: a randomized controlled trial. Anaesth Intensive Care. 2014: 28(4):408-13.
4. Estebe JP, Delahaye S, Corre P Le, Dollo G, Naoures A Le, Chevanne F, et al. Alkalinization of intra-cuff lidocaine and use of gel lubrication protect against tracheal tube-induced emergence phenomena. Br JAnaesth. 2017: 92(3):361-6.
5. Doukumo D, Faponle A, Adenekan A, Olateju S, Bolaji B. Effects of lidocaine and k-y jellies on sore throat, cough, and hoarseness following endotracheal anaesthesia. J West Afr Coll Surg. 2011: 1(3): 44-61.
6. Sumathi PA, Shenoy T, Ambareesha M, Krishna HM. Controlled comparison between betamethasone gel and lidocaine jelly applied over tracheal tube to reduce postoperative sore throat, cough, and hoarseness of voice. Br J Anaesth. 2008: 100(2): 215-8.
7. Shaaban AR, Kamal SM. Comparison between betamethasone gel applied over endotracheal tube and ketamine gargle for attenuating postoperative sore throat, cough and hoarseness of voice. Middle East J Anesthesiol. 2012: 21(4): 513-9.
8. Banihashem N, Alijanpour E, Hasannasab B, Zarei A. Prophylactic Effects of Lidocaine or Beclomethasone Spray on Post-Operative Sore Throat and Cough after Orotracheal Intubation. Iran J Otorhinolaryngol. 2015: 27(80): 179-84.
9. Charuluxananan S, Sumethawattana P, Kosawiboonpol R, Somboonviboon W, Werawataganon T. Effectiveness of lubrication of endotracheal tube cuff with chamomile-extract for prevention of postoperative sore throat and hoarseness J Med Assoc Thai. 2012: 87 (2): 185-9.
10. Hirota W, Kobayashi W, Igarashi K, Yagihashi Y, Kimura H, Strupish J, et al. Lidocaine added to a tracheostomy tube cuff reduces tube discomfort. Can J Anaesth. 2016 : 47(5): 412-4.
11. Bennett MH, Isert PR, Cumming RG. Postoperative sore throat and hoarseness following tracheal intubation using air or salineto inflate the cuff: a randomized controlled trial. Anaesth Intensive Care. 2013: 28(4): 408-13.
12. Karasawa F1, Ohshima T, Takamatsu I, Ehata T, Fukuda I, Uchihashi Y, et al. The effect on intracuff pressure of various nitrous oxide concentrations used for inflating an endotracheal tube cuff. Anesth Analg. 2010: 91(3): 708-13.
13. Tu HN, Saidi N, Lieutaud T, Bensaid S, Menival V, Duvaldestin P. Nitrous oxide increases endotracheal cuff pressure and the incidence of tracheal lesions in anesthetized patients. Anesth Analg. 2017: 89(1): 187-90.
14. Souter AJ, Fredman B, White PF. Controversies in the perioperative use of nonsteroidal anti -inflammatory drugs. Anesth Analg 1994 ;79:1178 -90.
15. Bourget JL,Clark J,Joy N.Comparing preincisional with postincisional bupivacaine infiltration in the management of postoperative pain. Arch Surg. 1997 Jul;132 (7):766 - 9.
16. Cros AM, Pitti R, Concil C, et al. Sever dysphonia following use of laryngeal mask airway. Anesthesiology 1997 ;86:498 -500.
17. Woolf CJ, Chong MS Preemptive analgesia -treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg 1993 ;77, 362 –379
18. Riahi M. LMA usage instead of ETT on patient recovery time. Journal of Arak University of Medical Sciences 2008.
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