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The aim of this study is to investigate the effect of throat packs on PONV in dental treatments under general anesthesia in special health care needs.
Throat packs are widely used to prevent aspiration of blood and other debris, especially in orofacial surgeries and dental treatments performed under general anesthesia. Aspiration of blood and other secretions into the stomach is one of the important causes of PONV. There is not much evidence that throat packs prevent nausea and vomiting after surgery. The most critical side effects of throat pack application are sore throat, difficulty swallowing, and being forgotten before extubation.
The incidence of cavities and other dental problems is higher in special health care needs due to reasons such as inadequate oral hygiene, malocclusion, high-carbohydrate diet, and lack of awareness about dental health. In this group of patients, dental treatments are primarily performed under general anesthesia. Since side effects are more difficult to identify by the patient, the procedures, technical applications and anaesthesia methods should be those with the least potential for side effects. Evidence is needed regarding the effect of throat packing on PONV. In this study, researchers planned to investigate the effects of using throat tampons during dental treatments under general anesthesia on PONV and sore throat in participants requiring special health care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control | No Intervention | Following endotracheal intubation, no throath pack will inserted into the hypopharynx. | |
| throath pack | Experimental | Following endotracheal intubation, throath pack will inserted into the hypopharynx. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| throat pack | Procedure | Following endotracheal intubation, one saline soaked, throat pack will inserted into the hypopharynx under direct vision. The packs will record in writting on the anaesthesia safety form. |
| Measure | Description | Time Frame |
|---|---|---|
| PONV | PONV scores were recorded at 1, 2 and 6 hours using the pictorial nausea scale "Baxter Retching Faces (BARF), which is scored between 0 and 10. A score of 0 on the BARF indicates the absence of PONV, while a score of 10 indicates the most severe PONV. | 1, 2 and 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| sore throat | Sore throat scores were recorded at 1, 2 and 6 hours after endotracheal extubation, using the Visual Analog Scale (VAS) visual scale scored between 0 and 10. On the VAS, 0 indicates no pain, while 10 indicates the most severe pain. | 1, 2 and 6 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sibel Tetiker, MD | Contact | +905337217723 | sibeltetster@gmail.com | |
| Hacer N Uğuz | Contact | +905052856619 | nidaauguz@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Sibel Tetiker | Cukurova University Faculty of Dentistry, Pediatric Dentistry | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39860573 | Derived | Tetiker S, Akdogan HN, Alpay N, Dogan MC. Effect of Dental Throat Pack Used Under General Anesthesia in Children with Special Healthcare Needs on Postoperative Nausea, Vomiting, and Sore Throat: A Randomized Clinical Trial. J Clin Med. 2025 Jan 17;14(2):567. doi: 10.3390/jcm14020567. |
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| ID | Term |
|---|---|
| D020250 | Postoperative Nausea and Vomiting |
| D010612 | Pharyngitis |
| D003731 | Dental Caries |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009325 | Nausea |
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| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D014839 | Vomiting |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D010608 | Pharyngeal Diseases |
| D009057 | Stomatognathic Diseases |
| D012140 | Respiratory Tract Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D017001 | Tooth Demineralization |
| D014076 | Tooth Diseases |