Volume : 7, Issue : 11, November - 2018

Laryngeal Mask Lubrication and Pharyngeal morbidities Comparison of topical application of saline, lignocaine, betamethasone gel

Dr. Neethu Rebecca Isaac, Dr. Bindu George, Dr. Manjula Devi

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 10pt;">&nbsp;</span><span lang="EN-IN" style="font-family: &quot;Times New Roman&quot;, serif; font-size: 10pt;">Sore throat, cough and hoarseness of voice are common in the post operative period following classic LMA insertion . This prospective randomized study is aimed at evaluating the efficacy of luicating agents like 0.9% saline, 2% lignocaine and 0.05% betamethasone gel in reducing post operative pharyngeal morbidities.</span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">METHODS<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:Calii">ASA I-II patients undergoing </span><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">short&nbsp; procedures under general anaesthesia with LMA were randomly divided into 3 equal groups ;saline, lignocaine&nbsp; and betamethasone gel groups. </span><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:Calii">&nbsp;The patients will be assessed for post operative pharyngeal morbidities at 1 and 24 hours.</span><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">RESULTS The incidence of postoperative pharyngeal&nbsp; morbidities was 13.33%, among which sore throat was higher (10%). Among the three groups, saline showed higher incidence for postoperative sore throat (20%) .&nbsp; No single luicant was associated with statistically significant lower incidence of&nbsp; complaints . Comparing the ease of insertion of LMA,&nbsp; more than 2 attempt was more with saline(30%)<o:p></o:p></span></p> <p><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">CONCLUSION &nbsp;No single luicant was associated with statistically significant lower incidence of post operative complaints.</span></p>