Saudi Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 8  |  Issue : 2  |  Page : 244--248

Evaluation of preoperative Strepsils lozenges on incidence of postextubation cough and sore throat in smokers undergoing anesthesia with endotracheal intubation


Divya Gupta, Sanjay Agrawal, Jagdish P Sharma 
 Department of Anesthesia, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India

Correspondence Address:
Sanjay Agrawal
Department of Anesthesia, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehradun, Uttarakhand
India

Post-operative sore throat (POST) is an undesirable side effect of endotracheal intubation. Pharmacological and non-pharmacological measures have been utilized for minimizing the morbidity caused by POST. We have tested use of Strepsils lozenges in providing efficacy for decreasing POST in smokers presenting for surgery under general anesthesia with endotracheal intubation. Materials and Methods: 100 patients, 20-65 years, American Society of Anesthesiologists (ASA) physical status I and II, either sex, history of smoking, posted for elective surgical procedure of more than 1 hour, requiring general anesthesia with endotracheal intubation were included and randomly divided into groups (n = 50) to receive Strepsils (Group A) and sugar candy (Group B). The patients were assessed for cough, sore throat, and hoarseness of voice after extubation, 30 min, 12 hrs, and 24 hrs after extubation. Results: At extubation no cough was seen in 39 (78%) patients (group A) compared to 23 (46%) patients (Group B), and mild cough in 22% (Group A) and 52% (Group B). Incidence of sore throat at extubation was lower in group A compared to Group B (P = 0.04). At other times of observations (30 min,12 hrs and 24 hrs) there was a significant decrease in incidence of sore throat in Group A compared to Group B (P = 0.000). Hoarseness of voice was not observed in any patient in either group. Conclusions: Use of preoperative Strepsils lozenges decreases incidence of POST and maybe utilized as a simple and cost-effective measure for decreasing the symptoms of POST and increasing the satisfaction of patients.


How to cite this article:
Gupta D, Agrawal S, Sharma JP. Evaluation of preoperative Strepsils lozenges on incidence of postextubation cough and sore throat in smokers undergoing anesthesia with endotracheal intubation.Saudi J Anaesth 2014;8:244-248


How to cite this URL:
Gupta D, Agrawal S, Sharma JP. Evaluation of preoperative Strepsils lozenges on incidence of postextubation cough and sore throat in smokers undergoing anesthesia with endotracheal intubation. Saudi J Anaesth [serial online] 2014 [cited 2023 Apr 1 ];8:244-248
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=2;spage=244;epage=248;aulast=Gupta;type=0