The Effect of Beatamethasone Gel in Reducing Post Operative Sore Throat and Cough After Endotracheal Intubation in Khartoum Teaching Hospital in Sudan
[1]
Siddig Omer Handady, Department of Obstetrical and Gynecology, Imperial Hospital, Khartoum, Sudan.
[2]
Yosif Elsir, Department of Anesthesia and Intensive Care, Khartoum Teaching Hospital, Khartoum, Sudan.
[3]
Mohemmed Sanhouri, Department of Anesthesia and Intensive Care, Khartoum Teaching Hospital, Khartoum, Sudan.
[4]
Hiba Mimoun, Department of Anesthesia and Intensive Care, Khartoum Teaching Hospital, Khartoum, Sudan.
[5]
Awad Ali M. Alawad, Faculty of Medicine, University of Medical Sciences and Technology, Khartoum, Sudan.
Background: Sore throat and cough are common postoperative problems following the use of endotracheal intubation during general anesthesia. Objectives: To determine the effects of betamethasone gel in reducing postoperative sore throat and cough. Methodology: It was interventional, prospective, double-blind clinical trial and hospital based study, implemented during a time period of six month from (February till August 2012) in Khartoum Teaching Hospital. One hundred patients (ASA I-II) to undergo endo tracheal intubation, were randomly divided equally into two groups; 50 Case (Group A); 50 Controls (Group B). The tracheal tubes for Case Group A were filled with 0.05% betamethasone gel, and for the Control Group B with Normal saline. Patients were interviewed at end of procedures and 1, 6 and 24 hour after extubation. Results: The incidence and severity of sore throat and cough, at 1 and 24 hours postoperatively was reduced significantly in Case Group A (betamethasone gel). Conclusions: Betamethasone gel when was used for lubrication of endotracheal tubes pre-operatively, is qualitatively superior to normal saline for decreasing postoperative sore throat and cough.
Betamethasone Gel, Endotracheal Intubation, Postoperative, Sore Throat, Cough, Comparison
[1]
Peppard Sb, Dickens Jh. Laryngeal Injury Following Short Term Intubation. Annals Of Otology, Rhinology, And Laryngology 2003; 112: 327–30
[2]
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 journal of anaesthesiology. 2012;21(4):513-9.
[3]
Stock Mc, Downs Jb: Lubrication Of Tracheal Tubes To Prevent Sore Throat From Intubation. Anesthesiology; 75:418-20, 2012.
[4]
Stride Pc: Post Operative Sore Throat: Topical Hydrocortisone. Anesthesia; 45:968-71, 1990.
[5]
Christensen Am, Lundby L, Jakobsen Kb, Et Al: Post Operative Throat Complaints After Tracheal Intubation. Bj Anesthesia; 73:786-7, 1994.
[6]
Jensen Pj, Hommelgaard P, Sondergaard P, Et Al: Sore Throat After Operation: Influence Of Tracheal Intubation, Intracuff Pressure, And Type Of Cuff. Bj Anesthesia; 54:453-7, 1982.
[7]
Stout Dm, Bishop Mj, Cullen Bf, Et Al: Correlation Of Endotracheal Tube Size With Sore Throat And Hoarseness Following General Anesthesia. Anesthesiology; 67:419-21, 1987.
[8]
Losser Ea, Benett Gm, Orr Dl, Et Al: Reduction Of Post Operative Sore Throat With New Endotracheal Tube Cuffs. Anesthesiology; 52:257-9, 2010.
[9]
Ayoub Mc, Ghobashy A, Mcgrimley L, Koch Me, Qadir S, Silverman Dg: Wide Spread Application Of Topical Steroids To Decrease Sore Throat, Hoarseness And Cough After Tracheal Intubation. Anesth Analg; 1998, 87:714-6.
[10]
Selvaraj T, Dhanpal R. Evaluation Of The Application Of Topical Steroids On The Endotracheal Tube In Decreasing Postoperative Sore Throat. J Anaesthesiol Clin Pharmacol 2002; 18: 167–70
[11]
O. Canbay, N. Celebi, A. Sahin, V. Celiker, S. Ozgen, U. Aypar: Ketamine Gargle For Attenuating Postoperative Sore Throat. Br. J. Anaesth; April 1, 2008, 100(4):490-493.
[12]
Pa. Sumathi, T. Shenoy, M. Ambareesha, Hm. Krishna: Controlled Comparison Between Betamethasone Gel And Lidocaine Jelly Applied Over Tracheal Tube To Reduce Postoperative Sore Throat, Cough, And Hoarseness Of Voice. British Journal Of Anaesthesia; 2008, 100(2):215-18.
[13]
George Allen: "Using Betamethasone Gel To Reduce Intubation Discomfort". Aorn Journal; April 2008.
