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2014, Number 4

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Rev Mex Anest 2014; 37 (4)

Reduction of cough and laryngotracheal pain due to alkalized lidocaine effect inside the endotracheal tube sleeve after surgery under general anesthesia

Samperio-Guzmán MA, Mille-Loera JE, Torres-Prado DE

Language: Spanish
References: 15
Page: 247-252
PDF size: 217.45 Kb.


ABSTRACT

Background: Cough and laryngotracheal pain are caused when tracheal pain receptors are activated. The purpose of applying continuously a local anesthetic to block these nociceptive block these nociceptive receptors would be a logic attempt to reduce its incidence. Objective: The aim of this body of work (study) is to determine whether or not the flush of the endotracheal tube cuff with alkalized lidocaine reduces the postoperative cough and laryngotracheal pain. Material and methods: Two groups, of thirty four (34) patients each, were studied. Within the first group, the endotracheal tube cuff was flushed using alkalinized lidocaine; while in the second group, the endotracheal tube cuff was flushed using a saline solution. Using a time frame: starting at the 0 hour, then 1 hour, 6 hours and 12 hours after the procedure, the cough incidence and laryngotracheal pain were evaluated. Results: There was a direct association between the presence of cough, laryngotracheal pain and the use of a saline solution, which demonstrated a protective effect when using lidocaine. Conclusion: The use of alkalized lidocaine into the endotracheal tube cuff has a protective effect/result, which diminishes cough and laryngotracheal in the interim between the extubation and twelve hours after surgery in patients under general anesthesia.


REFERENCES

  1. Janssens M, Harstsein G. Management of difficult intubation. Eur J Anaesthesiol. 2001;18:3-12.

  2. Biro P, Seifert B, Pasch T. Complaints of sore throat after tracheal intubation: a prospective evaluation. Eur J Anaesthesiol. 2005; 22:307-311.

  3. Jaensson M, Olowssin L, Nilsson U. Endotracheal tube size and sore throat following surgery: a randomized controlled study. Acta Anesthesiol Scand. 2010;54:147-153.

  4. Edomwonyi N, Ekwere I, Omo E, Rupasinghe A. Postoperative throat complications after tracheal intubation. Ann Afr Med. 2006;5:28-32.

  5. Minogue S, Ralph J, Lampa M. Laryngotracheal topicalization with lidocaine before intubation decreases the incidence of coughing on emergence from general anesthesia. Anesth Analg. 2004;99:1253-1257.

  6. Hohlrieder M, Tiefenthaler W, Klaus H, Gabl M, Kavakebi P, Keller C, et al. Effect of total intravenous anaesthesia and balanced anaesthesia on the frequency of coughing during emergence from the anaesthesia. Br J Anaesth. 2007;99:587-591.

  7. Kim E, Bishop M. Cough during emergence from isofluorane anesthesia. Anesth Analg. 1998;87:1170-1174.

  8. Monroe M, Gravenstein N, Saga-Rumley S. Postoperative sore throat: effect of oropharyngeal airway in orotracheally intubated patients. Anesth Analg. 1990;70:512-516.

  9. Huang Y, Hung N, Lee M, Kuo C, Yu J, Huang G, et al. The effectiveness of benzidamine hydrochloride spraying on the endotracheal tube cuff or oral mucosa for postoperative sore throat. Anesth Analg. 2010;111:887-891.

  10. Hung N, Wu C, Chan S, Lu C, Huang Y, Yeh C, et al. Effect on postoperative sore throat of spraying the endotracheal tube cuff with benzydamine hydrochloride, 10% lidocaine, and 2% lidocaine. Anesth Analg. 2010;111:882-886.

  11. Camacho L, Cerqueira J, Nakamura G, Moreira R, Silva F, Pinheiro N. Effectiveness and safety of endotraqueal tube cuffs filled with air versus filled with alkalinized lidocaine: a randomized clinical trial. Sao Paulo Med J. 2007;125:322-328.

  12. Estebe J, Gentili M, Corre P, Dollo G, Chevanne F, Ecoffey C. Alkalinization of intracuff lidocaine: efficacy and safety. Anesth Analg. 2005;101:1536-1541.

  13. Ahmady M, Sadek S, Al-metwalli R. Does intracuff alkalinized lidocaine prevent tracheal tube induced emergence phenomena in children? Anaesth Pain & Intensive Care. 2013;17:18-21.

  14. Camacho L, Moreira R, Simoes A, Cergueira J, Carness J, Pinheiro N. The effect of intracuff alkalinized 2% lidocaine on emergence coughing, sore throat, and hoarseness in smokers. Rev Assoc Med Bras. 2012;58:248-253.

  15. Zamora J, Cruz J, Rodríguez J, Sánchez J, Briones G, Gallardo L. Comparación entre lidocaína tópica, intravenosa y en el interior del globo del tubo endotraqueal para disminuir la tos tras la extubación en la inducción anestésica. Rev Esp Anestesiol Reanim. 2007;54:596-601.




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