Do Throat Pack Used in Dental Treatments Under General Anesthesia of Patients Have an Effect on PONV and Sore Throat?

Cukurova University74 enrolled

Overview

The aim of this study is to investigate the effect of throat packs on PONV in dental treatments under general anesthesia in special health care needs.

Throat packs are widely used to prevent aspiration of blood and other debris, especially in orofacial surgeries and dental treatments performed under general anesthesia. Aspiration of blood and other secretions into the stomach is one of the important causes of PONV. There is not much evidence that throat packs prevent nausea and vomiting after surgery. The most critical side effects of throat pack application are sore throat, difficulty swallowing, and being forgotten before extubation. The incidence of cavities and other dental problems is higher in special health care needs due to reasons such as inadequate oral hygiene, malocclusion, high-carbohydrate diet, and lack of awareness about dental health. In this group of patients, dental treatments are primarily performed under general anesthesia. Since side effects are more difficult to identify by the patient, the procedures, technical applications and anaesthesia methods should be those with the least potential for side effects. Evidence is needed regarding the effect of throat packing on PONV. In this study, researchers planned to investigate the effects of using throat tampons during dental treatments under general anesthesia on PONV and sore throat in participants requiring special health care.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Postoperative Nausea and Vomiting Sore-throat Dental Caries

Interventions

throat packPROCEDURE

Following endotracheal intubation, one saline soaked, throat pack will inserted into the hypopharynx under direct vision. The packs will record in writting on the anaesthesia safety form.

Eligibility

Sex: ALLMin age: 5 YearsMax age: 16 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Volunteering to participate in the study with parental consent * Being between the ages of 5-16 * Being grade 1 or 2 according to the ASA (American Society of Anesthesiologists) classification * At least one primary or permanent and one restorative. Having undergone treatment (amalgam or composite restoration) Exclusion Criteria: * Having a tracheostomy * Being evaluated as having difficult intubation * Having an additional disease related to the oesophagus, stomach or intestines, having a percutaneous endoscopic gastrostomy, * Having a history of PONV, * Having morbid obesity, * Having high airway pressure, * Having a history of allergy to the drugs to be used, * Needing an anaesthetic agent other than the anaesthesia method to be applied * Having advanced mental retardation that prevents data collection

Outcomes

Primary Outcomes

PONV

PONV scores were recorded at 1, 2 and 6 hours using the pictorial nausea scale "Baxter Retching Faces (BARF), which is scored between 0 and 10. A score of 0 on the BARF indicates the absence of PONV, while a score of 10 indicates the most severe PONV.

Time frame: 1, 2 and 6 hours

Secondary Outcomes

sore throat

Sore throat scores were recorded at 1, 2 and 6 hours after endotracheal extubation, using the Visual Analog Scale (VAS) visual scale scored between 0 and 10. On the VAS, 0 indicates no pain, while 10 indicates the most severe pain.

Time frame: 1, 2 and 6 hours

Central Contacts

Sibel Tetiker, MD

CONTACT

+905337217723 sibeltetster@gmail.com

Hacer N Uğuz

CONTACT

+905052856619 nidaauguz@hotmail.com

Data from ClinicalTrials.gov

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