Incidence and severity of postoperative sore throat: a randomized comparison of Glidescope with Macintosh laryngoscope
Tóm tắt
Postoperative sore throat (POST) is a common problem following endotracheal (ET) intubation during general anesthesia. The objective was to compare the incidence and severity of POST during routine intubation with Glidescope (GL) and Macintosh laryngoscope (MCL). One hundred forty adult patients ASA I and II with normal airway, scheduled to undergo elective surgery under GA requiring ET intubation were enrolled in this prospective randomized study and were randomly divided in two groups, GL and MCL. Incidence and severity of POST was evaluated at 0, 6, 12 and 24 h after surgery. At 0 h, the incidence of POST was more in MCL than GL (n = 41 v.s n = 22, P = 0.001), and also at 6 h after surgery (n = 37 v.s n = 23, P = 0.017). Severity of POST was more at 0, 6 and 12 h after surgery in MCL (P < 0.001, P = 0.001, P = 0.004 respectively). Routine use of GL for ET tube placement results in reduction in the incidence and severity of POST compared to MCL. ClinicalTrials.gov NCT02848365. Retrospectively Registered (Date of registration: July, 2016).
Tài liệu tham khảo
McHardy FE, Chung F. Postoperative sore throat: cause, prevention and treatment. Anaesthesia. 1999;54(5):444–53.
Lehmann M, et al. Postoperative patient complaints: a prospective interview study of 12,276 patients. J Clin Anesth. 2010;22(1):13–21.
Macario A, et al. Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg. 1999;89(3):652–8.
Najafi A, et al. Postoperative sore throat after laryngoscopy with macintosh or glide scope video laryngoscope blade in normal airway patients. Anesth Pain Med. 2014;4(1):e15136.
Lee JY, et al. Incidence and risk factors of postoperative sore throat after endotracheal intubation in Korean patients. J Int Med Res. 2017;45(2):744–52.
Aqil M. A study of stress response to endotracheal intubation comparing glidescope and flexible fiberoptic bronchoscope. Pak J Med Sci. 2014;30(5):1001–6.
Aqil M, et al. Routine use of Glidescope and Macintosh laryngoscope by trainee anesthetists. J Coll Physicians Surg Pak. 2016;26(4):245–9.
Russell T, et al. Measurement of forces applied during Macintosh direct laryngoscopy compared with GlideScope(R) videolaryngoscopy. Anaesthesia. 2012;67(6):626–31.
Lee RA, et al. Forces applied to the maxillary incisors during video-assisted intubation. Anesth Analg. 2009;108(1):187–91.
Jones PM, et al. A comparison of glidescope videolaryngoscopy to direct laryngoscopy for nasotracheal intubation. Anesth Analg. 2008;107(1):144–8.
Hsu HT, et al. Comparison of the GlideScope(R) videolaryngoscope and the Macintosh laryngoscope for double-lumen tube intubation. Anaesthesia. 2012;67(4):411–5.
Cirilla DJ 2nd, et al. Does the incidence of sore throat postoperatively increase with the use of a traditional intubation blade or the GlideScope? J Clin Anesth. 2015;27(8):646–51.
Andersen LH, Rovsing L, Olsen KS. GlideScope videolaryngoscope vs. Macintosh direct laryngoscope for intubation of morbidly obese patients: a randomized trial. Acta Anaesthesiol Scand. 2011;55(9):1090–7.
Agarwal A, et al. An evaluation of the efficacy of aspirin and benzydamine hydrochloride gargle for attenuating postoperative sore throat: a prospective, randomized, single-blind study. Anesth Analg. 2006;103(4):1001–3.
Henderson JJ, et al. Difficult airway society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004;59(7):675–94.
Cook TM. A grading system for direct laryngoscopy. Anaesthesia. 1999;54(5):496–7.
L'Hermite J, et al. The simplified predictive intubation difficulty score: a new weighted score for difficult airway assessment. Eur J Anaesthesiol. 2009;26(12):1003–9.
Ebneshahidi A, Mohseni M. Strepsils(R) tablets reduce sore throat and hoarseness after tracheal intubation. Anesth Analg. 2010;111(4):892–4.
Stout DM, et al. Correlation of endotracheal tube size with sore throat and hoarseness following general anesthesia. Anesthesiology. 1987;67(3):419–21.
Higgins PP, Chung F, Mezei G. Postoperative sore throat after ambulatory surgery. Br J Anaesth. 2002;88(4):582–4.
Combes X, et al. Intracuff pressure and tracheal morbidity: influence of filling with saline during nitrous oxide anesthesia. Anesthesiology. 2001;95(5):1120–4.
Minamiguchi M, et al. Evaluation of factors associated with postoperative sore throat. Masui. 2014;63(4):401–5.
Huang YS, et al. The effectiveness of benzydamine hydrochloride spraying on the endotracheal tube cuff or oral mucosa for postoperative sore throat. Anesth Analg. 2010;111(4):887–91.
Lewis SR, et al. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev. 2016;11:Cd011136.
Aziz MF, et al. Routine clinical practice effectiveness of the Glidescope in difficult airway management: an analysis of 2,004 Glidescope intubations, complications, and failures from two institutions. Anesthesiology. 2011;114(1):34–41.
Jaensson M, Gupta A, Nilsson UG. Risk factors for development of postoperative sore throat and hoarseness after endotracheal intubation in women: a secondary analysis. Aana j. 2012;80(4 Suppl):S67–73.
Biro P, Seifert B, Pasch T. Complaints of sore throat after tracheal intubation: a prospective evaluation. Eur J Anaesthesiol. 2005;22(4):307–11.
Jung H, Kim HJ. Dexamethasone contributes to the patient management after ambulatory laryngeal microsurgery by reducing sore throat. Eur Arch Otorhinolaryngol. 2013;270(12):3115–9.
Rahimi M, Makarem J. Effects of diclofenac epolamine patch on postoperative sore throat in parturients after cesarean delivery under endotracheal general anesthesia. Acta Anaesthesiol Taiwanica. 2009;47(1):17–21.
Ibinson JW, et al. GlideScope use improves intubation success rates: an observational study using propensity score matching. BMC Anesthesiol. 2014;14:101.
Healy DW, et al. Comparison of the glidescope, CMAC, storz DCI with the Macintosh laryngoscope during simulated difficult laryngoscopy: a manikin study. BMC Anesthesiol. 2012;12:11.
Baciarello M, et al. The learning curve for laryngoscopy: Airtraq versus Macintosh laryngoscopes. J Anesth. 2012;26(4):516–24.
Angadi SP, Frerk C. Videolaryngoscopy and Cormack and Lehane grading. Anaesthesia. 2011;66(7):628–9.
Teoh WH, et al. Comparison of three videolaryngoscopes: Pentax airway scope, C-MAC, Glidescope vs the Macintosh laryngoscope for tracheal intubation. Anaesthesia. 2010;65(11):1126–32.