Effect of Colding of Endotracheal Tubes on Sore Throat

Baskent University116 enrolled

Overview

Postoperative sore throat (POST) is a common and undesirable postoperative symptom that causes patient dissatisfaction. Cold application is a non-invasive, non-pharmacological, cost-effective and effort-effective therapy for pain management. The aim of this study was to evaluate whether colding of ETT can reduce sore throat, dysphagia and dysphonia after endotracheal intubation.

The incidence of postoperative sore throat (POST) has been reported up to 62% following general anaesthesia.It is an undesirable events experienced by patients after general anaesthesia. Various pharmacological agents have been applied to reduce POST, such as lidocaine, ketamine, magnesium, corticosteroids or non-steroidal anti-inflammatory drugs. However, these agents may have some systemic and local side effects. Therefore, various non-pharmacological applications have been investigated to reduce sore throat. Cold application is a non-invasive, cost-effective and effort-effective therapy for pain management. Although the mechanism is not clearly known, it increases the pain threshold, slows cellular metabolism, causes vasoconstriction, and reduces capillary permeability. Therefore, we hypothesized that colding of endotracheal tube may decrease POST associated with airway inflammation. The aim of this study was to evaluate whether colding of ETT can reduce sore throat, dysphagia and dysphonia after endotracheal intubation. The goal of this study is to identify a simple, safe, and inexpensive perioperative intervention to reduce post operative sore throat. This study is a prospective, randomised study involving 116 subjects and they will assessed on the incidence and severity of sore throat, dysphagia and dysphonia at 1. 4. 12. 24. hours after removal of endotracheal tube. Outcomes from this study can be extended to patients who will be receiving general anaesthesia using a endotracheal tube to reduce the incidence and severity of sore throat.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

116

Conditions

Postoperative Sore Throat

Interventions

cold endotracheal tubeOTHER

patients who were intubated with an ETT which kept in the fridge.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Patients who were entubated with an ETT. Those who accept the research Elective surgery Patients in American Society of Anaesthesiologists (ASA) I and II class 18 years and over Mallampati classification I and II Operation time more than 1 hour Exclusion Criteria: Patients with sore throat and lower respiratory tract infection Patients with a history of allergies

Locations (1)

Baskent University

Adana, Adana, Turkey (Türkiye)

Outcomes

Primary Outcomes

the incidence of sore throat 1 hour after extubation.

Presence of sore throat defined as constant pain, independent of swallowing (0=no. 1=yes)

Time frame: 1 hour after extubation

Secondary Outcomes

the severity of sore throat 1 hour after extubation.

Severity will be graded by the patient as 0=null; 1=mild; 2=moderate; 3=severe

Time frame: 1 hour after extubation

the incidence of sore throat 4 hour after extubation.

Presence of sore throat defined as constant pain, independent of swallowing (0=no. 1=yes)

Time frame: 4 hour after extubation

the severity of sore throat 4 hour after extubation.

Severity will be graded by the patient as 0=null; 1=mild; 2=moderate; 3=severe

Time frame: 4 hour after extubation

the incidence of sore throat 12 hour after extubation.

Presence of sore throat defined as constant pain, independent of swallowing (0=no. 1=yes)

Time frame: 12 hour after extubation

the severity of sore throat 12 hour after extubation.

Severity will be graded by the patient as 0=null; 1=mild; 2=moderate; 3=severe

Time frame: 12 hour after extubation

the incidence of sore throat 24 hour after extubation.

Presence of sore throat defined as constant pain, independent of swallowing (0=no. 1=yes)

Time frame: 24 hour after extubation

Data from ClinicalTrials.gov

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