Application of triamcinolone acetonide paste to the endotracheal tube reduces postoperative sore throat: a randomized controlled trial

Park, Sun Young; Kim, Sang Hyun; Lee, Se Jin; Chae, Won Seok; Jin, Hee Cheol; Lee, Jeong Seok; Kim, Soon Im; Hwang, Kyung Ho

doi:10.1007/s12630-011-9478-6

Cited by 39 publications

(36 citation statements)

References 27 publications

(37 reference statements)

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“…The smallest tracheal tube used in these studies was 7.0-mm ID, one study used only double lumen tubes and tracheal cuff pressures were controlled in only one study. The application of triamcinolone paste (0.1%) to the tracheal tube and cuff was associated with a reduction in the incidence and severity of sore throat at 24 h compared with chlorhexidine gel [23]. Similarly, betamethasone gel (0.05%) reduced the incidence compared with 2% lidocaine gel [24].…”

Section: Preventionmentioning

confidence: 99%

Postoperative sore throat: a systematic review

2016

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Summary Postoperative sore throat has a reported incidence of up to 62% following general anaesthesia. In adults undergoing tracheal intubation, female sex, younger age, pre‐existing lung disease, prolonged duration of anaesthesia and the presence of a blood‐stained tracheal tube on extubation are associated with the greatest risk. Tracheal intubation without neuromuscular blockade, use of double‐lumen tubes, as well as high tracheal tube cuff pressures may also increase the risk of postoperative sore throat. The expertise of the anaesthetist performing tracheal intubation appears to have no influence on the incidence in adults, although it may in children. In adults, the i‐gel™ supraglottic airway device results in a lower incidence of postoperative sore throat. Cuffed supraglottic airway devices should be inflated sufficiently to obtain an adequate seal and intracuff pressure should be monitored. Children with respiratory tract disease are at increased risk. The use of supraglottic airway devices, oral, rather than nasal, tracheal intubation and cuffed, rather than uncuffed, tracheal tubes have benefit in reducing the incidence of postoperative sore throat in children. Limiting both tracheal tube and supraglottic airway device cuff pressure may also reduce the incidence.

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Section: Preventionmentioning

confidence: 99%

Postoperative sore throat: a systematic review

2016

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“…POST continues to be reported with a high frequency and can sometimes persist for several days (3). The incidence of POST ranges from 21% to 71.8% (4)(5)(6), while the incidence of postoperative hoarseness (PH) is between 40% and 50% (3,7).…”

Section: Systematic Review and Meta-analysismentioning

confidence: 99%

Impact of Endotracheal Tube Cuff Pressure on Postoperative Sore Throat: A Systematic Review and Meta-Analysis

Hu¹,

Xu²,

Zhao³

et al. 2016

J Anesth Perioper Med

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“…Mechanical trauma and injury is almost certainly the precipitating factor in postoperative sore throat [25], as supported by the preventive efficacy of some lubricants [116]. The inflammatory response has been replicated in a swine model, with elevated interleukin (IL) 6 and polymorphonuclear leukocytes found in tracheal lavage fluid [117].…”

Section: The Mechanism Of Non-infectious Sore Throatmentioning

confidence: 99%

Environmental and non-infectious factors in the aetiology of pharyngitis (sore throat)

2012

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ObjectivesThe aim of this review is to examine the causes, pathophysiology and experimental models of noninfectious pharyngitis (sore throat). Introduction The causes of sore throat can be infectious (viruses, bacteria, and fungi) or non-infectious, although the relative proportion of each is not well documented. Methods A PubMed database search was performed for studies of non-infectious sore throat. Results and conclusions Non-infectious causes of sore throat include: physico-chemical factors, such as smoking, snoring, shouting, tracheal intubation, medications, or concomitant illness; and environmental factors including indoor and outdoor air pollutants, temperature and humidity, and hazardous or occupational irritants. The pathophysiology underlying non-infectious sore throat is largely uncharacterised, although neurogenic inflammation looks to be a promising candidate. It is likely that there will be individual disposition factors or the coincidence of more than one irritant with possible-up to now unknown-interactions between them. Therefore, experimental models with defined conditions and objective endpoints are needed. A new model using cold dry air to directly induce pharyngeal irritation in humans, with pharyngeal lavage to measure biomarkers, may provide a useful tool for the study of mechanisms and treatment of non-infectious sore throat.

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Application of triamcinolone acetonide paste to the endotracheal tube reduces postoperative sore throat: a randomized controlled trial

Cited by 39 publications

References 27 publications

Postoperative sore throat: a systematic review

Postoperative sore throat: a systematic review

Impact of Endotracheal Tube Cuff Pressure on Postoperative Sore Throat: A Systematic Review and Meta-Analysis

Environmental and non-infectious factors in the aetiology of pharyngitis (sore throat)

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