Hoarseness After Tracheal Intubation

Jones, Michael W.; Catling, S.; Evans, E.; Green, D. H.; Green, J. R.

doi:10.1097/00132586-199210000-00016

Cited by 21 publications

(32 citation statements)

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“…27 A study of malpractice suits in the Closed Claim study revealed that the median cost of settlement was $200,000 when a life-threatening adverse outcome was associated with a respiratory event intraoperatively, t Reports of other injuries following difficult tracheal intubation included dental injuries, oesophageal trauma, laryngeal damage, and hoarseness. [28][29][30][31][32] The reported rate of difficult tracheal intubation depends on the definition chosen. Definitions used have included failure to intubate, 33 more than two laryngoscopies, 34 more than three attempts to pass the endotracheal tube or longer than ten minutes, ~5 or a poor view of the vocal cords on direct laryngoscopy.…”

Section: Discussionmentioning

confidence: 99%

The airway: problems and predictions in 18,500 patients

1994

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Section: Discussionmentioning

confidence: 99%

The airway: problems and predictions in 18,500 patients

1994

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“…This can produce mucosal injury and we expect more incidence of sore throat in these cases. This was supported by one study [8]. But many studies did not agree with this finding [6,7,11,12,[17][18][19][20].…”

Section: Discussionmentioning

confidence: 90%

“…In our study we found increased incidence of sore throat in patients over 60kg (38.5%) when compared to patients less than 60kg (24.5%). Probably this could be due to greater technical difficulty in intubating obese patients [8,14] as shown in studies with similar outcome.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of the efficacy of dexamethasone, lignocaine or placebo in the prevention of post intubation sore throat

Kadar¹

2015

Int Jour of Biomed Res

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Objective: To assess the incidence of sore throat and hoarseness caused by endotracheal intubation. To observe if lignocaine or dexamethasone throat spray would alter the incidence of sore throat Materials and methods: Adult patients of either sex who underwent general anaesthesia with endotracheal intubation were included in this randomised double blind study. Three hundred patients who had general anaesthesia with endotracheal intubation were randomly allocated into three groups -Group A, Group B and Group C following block randomisation. Nature of the study was explained to the patient and verbal consent obtained. Group A -2ml of dexamethasone (8mg) was sprayed Group B -2ml of 4% lignocaine was sprayed in this group. Group C -2ml of normal saline was used in this group. Postoperatively between 12-24 hours patients were invited to find out if any sore throat or hoarseness of voice was present. Verbal analogue scoring system was used. Results: Postoperatively sore throat was present in 26% in group A, 33% in group B and 28% in group C. Hoarseness was present in 20% in group A, 23% in group B and 18% in group C. Sore throat and hoarseness were present in 37% in group A, 45% in group B and 39% in group C. Conclusion: Neither dexamethasone nor lignocaine throat spray were useful in reducing postoperative sore throat and hoarseness.

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“…A study on 167 patients intubated for short periods of time, 54 (32%) complained of hoarseness post surgery, and the symptoms completely disappeared within 5 days (18). In two patients with persistent hoarseness for 54 and 99 days, vocal cord granulomas were detected.…”

Section: Graphic1 Tracheal Cuff Pressure Valuesmentioning

confidence: 97%

Effect of Nitrous Oxide Anaesthesıa on Endotracheal Cuff Pressure

Koşar¹,

Şen²,

Toptaş³

et al. 2017

Haseki

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Aim: When N 2 O is used for general anaesthesia, it diffuses into the air-filled endotracheal cuff causing the cuff pressure to rise by over inflating the cuff, which results in tracheal damage. This study aimed to estimate changes in the endotracheal-cuff pressure with time during oxygen-air-and oxygen-N 2 O-induced anaesthesia and to determine its sore throat and hoarseness incidence. Methods:Fifty patients with American Society of Anesthesiologists physical status 1-2, aged 18-60 years were icluded to our study. Orotracheal intubation was performed using polyvinyl chloride high volume-low pressure endotracheal tubes. The AIR group 40% O 2 /60% air and N 2 O group 40% O 2 /60% N 2 O was used. The endotracheal cuff pressure at 5, 10, 15, 20 minutes immediately after intubation and at 10-minute intervals were recorded. When the cuff pressure reached 45 cm H 2 O, was attenuated to 25-30-cm H 2 O. At the post operative first and the 24th hour, the patients were queried for sore throat and hoarseness. Results:The N 2 O-group cuff pressure rose from the fifth minute onwards. Also, the N 2 O group had a higher incidence of sore throat and hoarseness. Bulgular: Kaf basınçları karşılaştırıldığında, azotprotoksit grubunda beşinci dakikadan itibaren kaf basınçları giderek yüksek bulunmasına rağmen, hava grubunda basınçlarda anlamlı bir değişiklik görülmedi. Ayrıca azotprotoksit grubunda boğaz ağrısı ve ses kısıklığı daha fazla görüldü.Sonuç: Genel anestezi sırasında uygulanan azotprotoksit, yüksek kaf basınçlarına ve buna bağlı komplikasyonlara neden olabilmektedir. Bu nedenle azotprotoksit anestezi sırasında kaf basıncı rutin olarak monitörize edilmelidir.AnahtarSözcükler: Genel anestezi, nitröz oksit, endotrakeal tüp kaf basıncı, boğaz ağrısı, ses kısıklığı

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Hoarseness After Tracheal Intubation

Cited by 21 publications

References 0 publications

The airway: problems and predictions in 18,500 patients

The airway: problems and predictions in 18,500 patients

Assessment of the efficacy of dexamethasone, lignocaine or placebo in the prevention of post intubation sore throat

Effect of Nitrous Oxide Anaesthesıa on Endotracheal Cuff Pressure

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