The Indian Anaesthetists’ Forum

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 20  |  Issue : 1  |  Page : 9--15

Effects of intracuff alkalinized lignocaine, dexamethasone, or normal saline on endotracheal tube-induced emergence phenomena: A randomized double-blinded study


Teena Desai, Rohini V Bhat Pai, Deependra Kambli, Eufemia Sellia Dias, Shaila S Kamat 
 Department of Anaesthesiology, Goa Medical College, Bambolim, Goa, India

Correspondence Address:
Dr. Rohini V Bhat Pai
Department of Anaesthesiology, Goa Medical College, Bambolim, Goa
India

Context: During endotracheal intubation, as we aim for smooth induction, smooth extubation is also mandatory. During extubation, coughing, sore throat, hoarseness, and laryngospasm are not desired and have to be prevented. Aims: The aim of the study is to study the effects of inflating the endotracheal tube (ETT) cuff with alkalinized lignocaine (Group L) or dexamethasone (Group D) or saline (Group S) on the emergence phenomena of endotracheal extubation. Settings and Design: Tertiary hospital, randomized double-blinded prospective study. Subjects and Methods: A total of 90 patients undergoing surgery under general anesthesia were randomly allotted into three groups, 30 in each group. After endotracheal intubation, the tube cuff was inflated with alkalinized lignocaine (Group L) or dexamethasone (Group D) or saline (Group S) as per the randomization sequence. At emergence and 1 h after surgery for hemodynamic indices and incidence of postextubation, sore throat, cough, hoarseness, and laryngospasm were assessed. Results: With respect to cough and sore throat, Group L and Group D were significantly better than Group S but the hoarseness was the worst in Group D. Conclusions: Inflating the ETT cuff with alkalinized lignocaine or dexamethasone helped in preventing sore throat and cough to a better extent than saline, the hoarseness, however, being the worst in dexamethasone group.


How to cite this article:
Desai T, Bhat Pai RV, Kambli D, Dias ES, Kamat SS. Effects of intracuff alkalinized lignocaine, dexamethasone, or normal saline on endotracheal tube-induced emergence phenomena: A randomized double-blinded study.Indian Anaesth Forum 2019;20:9-15


How to cite this URL:
Desai T, Bhat Pai RV, Kambli D, Dias ES, Kamat SS. Effects of intracuff alkalinized lignocaine, dexamethasone, or normal saline on endotracheal tube-induced emergence phenomena: A randomized double-blinded study. Indian Anaesth Forum [serial online] 2019 [cited 2019 Dec 13 ];20:9-15
Available from: http://www.theiaforum.org/article.asp?issn=2589-7934;year=2019;volume=20;issue=1;spage=9;epage=15;aulast=Desai;type=0