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Tracheal intubation often causes trauma to the airway mucosa, leading to postoperative sore throat (POST), which has been reported to occur in 21-65% of cases. While considered a minor complication, POST can contribute to postoperative discomfort and patient dissatisfaction.
Patients have ranked POST as the eighth most adverse effect during the postoperative period. Various methods, both non-pharmacological and pharmacological, have been explored to mitigate POST with varying degrees of success. Non-pharmacological approaches include using smaller-sized endotracheal tubes, lubricating the tube with water-soluble jelly, employing careful airway instrumentation, ensuring intubation after full relaxation, employing gentle oropharyngeal suctioning, minimizing intracuff pressure, and deflating the tracheal tube cuff completely before extubation, all of which have been reported to reduce the incidence of POST.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the 1st group (K group) | the 1st group (K group) consisted of 46 patients who were instructed to gargle with a ketamine solution |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gargle with ketamine | Drug | The patients asked to gargling with ketamine solution in the preoperative waiting area after explain the whole procedure and the goals of the study. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sore throat | A sore throat is characterized by pain, scratchiness, or irritation in the throat, typically aggravated by swallowing. | 2, 6, 12, and 24 hrs. postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Cough | Coughing and bucking while intubated on emergence from general anesthesia unfortunately occurs in approximately 40% of patients | 2, 6, 12, and 24 hrs. postoperatively |
| Hoarseness of voice |
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Inclusion Criteria:
Exclusion Criteria:
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The patients undergoing appendectomy or cholecystectomy under general anesthesia with endotracheal intubation in Al-Nasiriyah Teaching Hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ministry O Health | Contact | 07811593388 | hussein.hussein@alayen.edu.iq | |
| Hussein A Al-Jaberi, PhD | Contact | 07730593388 | hussein.hussein@alayen.edu.iq |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ministry of Health | Baghdad | Thi-Qar | 00964 | Iraq |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 7880666 | Background | Christensen AM, Willemoes-Larsen H, Lundby L, Jakobsen KB. Postoperative throat complaints after tracheal intubation. Br J Anaesth. 1994 Dec;73(6):786-7. doi: 10.1093/bja/73.6.786. | |
| 7369513 | Background | Loeser EA, Bennett GM, Orr DL, Stanley TH. Reduction of postoperative sore throat with new endotracheal tube cuffs. Anesthesiology. 1980 Mar;52(3):257-9. doi: 10.1097/00000542-198003000-00011. No abstract available. |
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We will not share any data about the participants with other researchers; but we will share the results after doing our analysis.
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| ID | Term |
|---|---|
| D009067 | Mouthwashes |
| D007649 | Ketamine |
| ID | Term |
|---|---|
| D001697 | Biomedical and Dental Materials |
| D020313 | Specialty Uses of Chemicals |
| D020164 | Chemical Actions and Uses |
| D003358 | Cosmetics |
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|
Hoarseness of voice is a common complication after tracheal intubation and may be very limiting for a patient after anesthesia.
| 2, 6, 12, and 24 hrs. postoperatively |
| 15830773 | Background | Al-Qahtani AS, Messahel FM. Quality improvement in anesthetic practice--incidence of sore throat after using small tracheal tube. Middle East J Anaesthesiol. 2005 Feb;18(1):179-83. |
| D008420 | Manufactured Materials |
| D013676 | Technology, Industry, and Agriculture |
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |