Volume 27, Number 11 (Monthly-Feb 2017)                   J Urmia Univ Med Sci 2017, 27(11): 935-941 | Back to browse issues page


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Mahoori A, Sane S, Golmohammadi M, Rezaei H, Mali Z. COMPARISON THE EFFECT OF INTRACUFF ALKALINIZED LIDOCAINE AND LIDOCAINE ALONE ON POSTEXTUBATION COUGH IN LUMBAR LAMINECTOMY SURGERY. J Urmia Univ Med Sci. 2017; 27 (11) :935-941
URL: http://umj.umsu.ac.ir/article-1-3657-en.html

Assistant Professore Department of Anesthesiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran , shahryarsane@yahoo.com
Abstract:   (1417 Views)

Background & Aims: In general anesthesia, patients’ coughing during and after recovery is an important clinical problem with a prevalence of 15% to 45%. This study aimed to evaluate the effects of alkalinized lidocaine or lidocaine alone into the tracheal tube cuff on post-extubation cough in lumbar laminectomy surgery with general anesthesia.

Materials & Methods: Ninety patients scheduled for lumbar laminectomy in prone position were enrolled in this randomized double-blind prospective study. After tracheal intubation, the tracheal tube cuff was filled with either an alkalinized 2% lidocaine solution or lidocaine alone or 0.9% saline. A logistic regression comprising the two factors was used for analysis. The incidence of sore throat reported by patients and cough 0, 10 and 30 minutes at recovery after extubation.

Results: Intracuff alkalinized 2% lidocaine was superior to lidocaine alone and saline in blunting emergence coughing 10 and 30 minutes at recovery after extubation (P = 0.035- P= 0.005). The incidence of sore throat was significantly lower in the alkalinized 2% lidocaine group at the recovery at 10 and 30 min after extubation(p = 0.001).

Conclusion: The present study showed that the intracuff alkalinized 2% lidocaine was superior to lidocaine alone or saline in decreasing the incidence of emergence coughing and sore throat during the recovery room after extubation.

SOURCE: URMIA MED J 2017: 27(11): 941 ISSN: 1027-3727

Full-Text [PDF 433 kb]   (408 Downloads)    
Type of Study: Clinical trials | Subject: Anesthesia
Received: 2016/10/23 | Accepted: 2016/12/7 | Published: 2017/02/15

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