Postoperative Sore Throat

Monroe, Mark; Gravenstein, Nikolaus; Saga-Rumley, Segundina A.

doi:10.1213/00000539-199005000-00008

Cited by 64 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… Trauma during tracheal intubation. [ 11 ] The laryngoscope blade can cause injury to the pharynx and tonsillar fauces Trauma to the larynx. [ 12 ] This is more likely if a red rubber tracheal tube is used rather than a plastic disposable tube, or if the tube has been forced through the vocal cords.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study

et al. 2015

View full text Add to dashboard Cite

Context:Postoperative throat complaints such as postoperative sore throat (POST), dysphagia, and hoarseness frequently arises after tracheal intubation and throat packing for patient undergoing general anesthesia. This condition is very disturbing to patient. Avoiding POST is a major priority for these patients because preventing postoperative complications contributes to patient satisfaction.Aims:To describe and analyze the postoperative throat effects of nasopharyngeal packing and oropharyngeal packing in patients undergoing nasal surgery.Settings and Design:A randomized comparative study.Subjects and Methods:After obtaining approval of Ethical Committee 40 patients were included in study. After this patient were randomly allocated into two groups of 20 each. Group A - in which the oropharynx was packed and Group B - inwhich the nasopharynx was packed. General anesthesia were given and throat packing was done and patients were interviewed postoperatively for any throat complications such as sore throat, difficulty in swallowing (dysphagia), hoarseness of voice, throat irritation, and any other symptom pertaining to the study were noted and data were analyzed.Statistical Analysis Used:T-test to compare the age, while Chi-square test and Fisher's exact test were used to compare sex distribution, sore throat, dysphagia, hoarseness, and throat irritation.Results:Results showed statistically significant difference in incidence and severity of POST in Group A patients when compared to Group B patients to be more. Patients in Group A had a higher incidence of dysphagia when compared to their Group B counterparts. With respect to the incidence of hoarseness and throat irritation, there was no statistical significance between the groups.Conclusion:We concluded that the site of pharyngeal packing influences the incidence and severity of POST and as well as the incidence of dysphagia after general anesthesia. The use of nasopharyngeal packing in the patients undergoing nasal surgeries might lead to a reduction of the same.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Trauma during tracheal intubation. [ 11 ] The laryngoscope blade can cause injury to the pharynx and tonsillar fauces…”

Section: Discussionmentioning

confidence: 99%

Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Firstly, traumatic laryngoscopy or placement of a nasogastric tube or rough suctioning may injure the pharyngolaryngeal mucosa. 15 Secondly, cuff design and pressure affect tracheal mucosal capillary perfusion. 16 , 17 Thirdly, contact of the tracheal tube with the vocal cords and posterior pharyngeal wall may result in edema or lesion.…”

Section: Discussionmentioning

confidence: 99%

Beclomethasone inhaler versus intravenous lidocaine in the prevention of postoperative airway and throat complaints: a randomized, controlled trial

Honarmand

Safavi

2008

Annals of Saudi Medicine

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVEPrevious reports indicate that inhaled corticosteroids attenuate airway inflammation. Beclomethasone inhaler was highly effective in the prevention of postoperative airway symptoms. Intravenous lidocaine prior to endotracheal intubation has also been shown to decrease the incidence of postoperative sore throat and cough. The aim of the present study was to compare the effect of beclomethasone inhaler with various clinically used dosages of intravenous lidocaine prior to endotracheal intubation on the incidence and severity of postoperative sore throat, cough, sputum, hoarseness, and dysphagia.PATIENTS AND METHODSOne hundred twenty patients undergoing elective operations were assigned to one of four treatments: intravenous lidocaine 1mg/kg (Group L1, n=30), intravenous lidocaine 1.5 mg/kg (Group L2, n=30), beclomethasone inhaler 50 μg (Group B, n=30) or intravenous normal saline (Group C, n=30). The incidence and severity of sore throat, cough, sputum, hoarseness, and dysphagia were compared between the beclomethasone inhaler and intravenous lidocaine groups before they left the operating room, 1 hour later, at time of the first postoperative drink or meal (for assessment of dysphagia), and on the morning after surgery.RESULTSIn the evaluation of postoperative symptoms, the incidence and severity of sore throat were significantly lower in Group L2 and B than Group C (P<.05) at all time intervals. One and 20 hours after emergence from anesthesia, the incidence and severity of cough were significantly lower in Group L2 and B than Group C (P<.05). The incidence and severity of sore throat or cough was not significantly different between Groups L2 and B. Throughout the study, the incidence and severity of sputum were significantly lower in Group B than group C (P<.05).CONCLUSIONBeclomethasone inhaler is comparable with intravenous lidocaine prior to intubation in decreasing postoperative sore throat and cough. In addition, beclomethasone inhaler decreases the incidence and severity of postoperative sputum.

show abstract

“…Another understudied area of interest is whether post-procedure sore throat is secondary to an endoscopy procedure itself or concomitant anesthesia maneuvers. While there are data showing that intubation increases risk of sore throat 7 8 , a comprehensive evaluation of endoscopic and anesthesia risk factors is lacking in the literature.…”

Section: Introductionmentioning

confidence: 99%

Is sore throat an underreported and under-estimated quality indicator for endoscopic procedures? Results from a large prospective cohort

et al. 2020

View full text Add to dashboard Cite

Background and study aims Patients often develop sore throat after upper endoscopy procedures but there data are very limited on the magnitude of the problem. The aim of this study was to evaluate and identify independent risk factors of sore throat in patients undergoing endoscopy. Patients and methods Data were collected prospectively on consecutive outpatient endoscopy procedures performed at Cedars-Sinai Medical Center from October 2018 to February 2019. Procedure nurses collected pre-procedure, intra-procedure, and immediate post-procedure surveys including evaluation of sore throat (pain scale from 1 – 10). Significant univariate variables (P < 0.05) were entered into a multivariate logistic regression model. Results Data were collected on 715 patients. Four hundred seventy-two patients (mean age = 61 years, females = 53 %) were included in the analysis and 85 patients (18 %) experienced post-procedure sore throat. On univariate analysis, female gender, oral endoscopic ultrasound (EUS), oral double balloon enteroscopy (DBE), fellow involvement, throat suctioning, general anesthesia, oral airway, and prolonged procedure (> 30 minutes) were risk factors for sore throat (all P < 0.05). On the multivariate analysis, independent risk-factors for post-procedure sore throat were oral DBE (odds ratio [OR] 5.2), oral airway (OR 4.8), general anesthesia (OR 2.7), fellow involvement (OR 2.5), oral EUS (OR 2.4), and female gender (OR 2.0). Conclusions Contrary to popular belief, our study found that post-procedural sore throat is more common (18 %) than previously reported. Two types of endoscopic procedures, two anesthesia maneuvers, female gender, and fellow involvement were all independent risk factors. This is of particular concern for interventionalists who perform EUS and oral DBE as these patients are at higher risk for sore throat.

show abstract

Postoperative Sore Throat

Cited by 64 publications

References 0 publications

Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study

Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study

Beclomethasone inhaler versus intravenous lidocaine in the prevention of postoperative airway and throat complaints: a randomized, controlled trial

Is sore throat an underreported and under-estimated quality indicator for endoscopic procedures? Results from a large prospective cohort

Contact Info

Product

Resources

About