Effect of tramadol gargle on postoperative sore throat: A double blinded randomized placebo controlled study

Rashwan, Samaa; Abdelmawgoud, Ashraf; Badawy, Ahmed

doi:10.1016/j.egja.2014.01.010

Cited by 10 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The pre‐operative administration of a flurbiprofen lozenge reduced the severity, although not the incidence, of early postoperative sore throat . A pre‐operative 2 mg.kg −1 tramadol gargle reduced both the incidence and severity of sore throat for up to 24 h postoperatively in a small study of 50 patients , although 100 mg of intravenous hydrocortisone had no effect . Diffusion of nitrous oxide into the cuff led to an increase in cuff pressure of up to 250% and resulted in an increased incidence of postoperative sore throat .…”

Section: Methodsmentioning

confidence: 98%

“…Smaller tube size [5][6][7] Use of i-gel [50,[63][64][65] SAD rather than tracheal tube [121,122] Video laryngoscopy [9,10] 90°rotational insertion technique, use of introducing stylet for ProSeal LMA laryngeal mask [81][82][83][84][85] Oral rather than nasotracheal intubation [124] Limiting cuff pressure [32][33][34] Cuff pressure limitation ≤ 60 cmH 2 O [88][89][90][91][92][93]96] Cuffed rather than uncuffed tubes [125] Intravenous, topical or inhaled steroids [22][23][24][25] Topical steroids, NSAIDs, tramadol [98,101,102] Limiting tracheal tube cuff pressure [126] Topical NSAIDs [27][28][29]31] Propofol induction and maintenance [106,107] SAD cuff pressure limitation ≤ 60 cmH 2 O [130][131][132][133] Liquorice, magnesium and ketami...…”

Section: Tracheal Intubation Sads Childrenmentioning

confidence: 99%

See 1 more Smart Citation

Postoperative sore throat: a systematic review

2016

View full text Add to dashboard Cite

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.

show abstract

Section: Methodsmentioning

confidence: 98%

Section: Tracheal Intubation Sads Childrenmentioning

confidence: 99%

Postoperative sore throat: a systematic review

2016

View full text Add to dashboard Cite

show abstract

“…The presence of sore throat and its severity was assessed by four-point categorical pain scale, where 0 = no sore throat; 1 = mild (complains of sore throat only after asking); 2 = moderate (complains of sore throat on his/her own); 3 = severe (change of voice or hoarseness, associated with throat pain). 9 , 12 …”

Section: Methodsmentioning

confidence: 99%

Comparison of two supraglottic airway devices on postoperative sore throat in children: a prospective randomized controlled trial

Hameed

Samad

Ullah

2020

Brazilian Journal of Anesthesiology (English Edition)

View full text Add to dashboard Cite

“…Prior studies have found that ketamine [ 4 ] and tramadol solutions [ 8 ] for gargles, endotracheal tube spraying with beclomethasone [ 9 ], and intravenous injection of dexamethasone are effective in reducing the incidence and severity of POST [ 10 ]. Dexamethasone is a corticosteroid that has 26.6 and 6.6 times stronger anti-inflammatory and immunosuppressant effects than cortisol and prednisone, respectively.…”

Section: Introductionmentioning

confidence: 99%

Effects of topical dexamethasone in postoperative sore throat

Lee

Kim

Lee

et al. 2017

Korean J Anesthesiol

View full text Add to dashboard Cite

BackgroundPostoperative sore throat (POST) is a complication that undermines patient satisfaction and increases discomfort in the postoperative period. The present study examined the effects of dexamethasone gargle and endotracheal tube cuff soaking on the incidence and severity of POST.MethodsNinety patients undergoing laparoscopic cholecystectomy were randomly allocated into three groups: 0.9% normal saline gargling and tube soaking (group C), 0.05% dexamethasone solution gargling and 0.9% normal saline tube soaking (group G), 0.9% normal saline gargling and 0.05% dexamethasone tube soaking (group S). The incidence and severity of POST were then assessed and recorded at 24 hours after surgery.ResultsThe total incidence of POST was significantly different among the groups (P < 0.05), and group S exhibited a significantly lower incidence of POST than group C (P < 0.0167). In addition, the POST intensity of group G and group S was less severe than those of group C (Both P < 0.0167).ConclusionsAmong patients undergoing laparoscopic cholecystectomy, those who gargled with 0.05% dexamethasone solution exhibited lower severity of POST than the control group, and those whose endotracheal tube cuff was soaked in the dexamethasone solution before intubation exhibited significantly lower incidence and severity of POST than the control group.

show abstract

Effect of tramadol gargle on postoperative sore throat: A double blinded randomized placebo controlled study

Cited by 10 publications

References 19 publications

Postoperative sore throat: a systematic review

Postoperative sore throat: a systematic review

Comparison of two supraglottic airway devices on postoperative sore throat in children: a prospective randomized controlled trial

Effects of topical dexamethasone in postoperative sore throat

Contact Info

Product

Resources

About