A COMPARATIVE STUDY ON THE INCIDENCE OF SORE THROAT AFTER TRACHEAL INTUBATION USING SUCCINYLCHOLINE AND ROCURONIUM IN ELECTIVE SURGERIES

Main Article Content

Dr Fasna Nellikot
Dr. Sunil M
Dr.Arun Varghese
Dr Susha T S

Keywords

Anaesthesia, post op sore throat, Succinylcholine, Rocuronium

Abstract

                     


BACKGROUND: This study was undertaken to compare  the incidence of sore throat after tracheal intubation using Succinylcholine and Rocuronium in elective surgeries. 


METHODS: After receiving approval from the institutional ethics committee and signed informed consent from the study participants, a prospective comparative study based in a hospital was carried out among 120 patients. 120 Patients of American Society of Anaesthesiologists Physical Status I and II undergoing elective surgeries under general anesthesia were included in the study. They were allotted into two groups: Group A and Group B. Group A was given Succinylcholine as the muscle relaxant and Group B was given Rocuronium. The postoperative occurrence of sore throat within 24 hours were enquired.


RESULTS: Out of those who received succinylcholine - 56% and amongst those who received rocuronium – 63% had postoperative sore throat. The difference is  not statistically significant with the p value is 0. 456.The incidence of sore throat was found to be depended on other factors like duration of surgery.


CONCLUSION: The incidence of sore throat did not vary much from both the groups using succinylcholine and rocuronium. Hence the effect of type of muscle relaxant used for induction of general anesthesia has shown to have no influence on the incidence of sore throat postoperatively.

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References

1. Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. The Lancet. 2003 Dec 6;362(9399):1921-8.
2. Wu CL, Berenholtz SM, Pronovost PJ, Fleisher LA. Systematic review and analysis of postdischarge symptoms after outpatient surgery. Anesthesiology-Hagerstown. 2002 Apr 1;96(4):994-1003.
3. Hong SH, Lee JM, Park CM, Park HJ, Jeon JP, Yu MR, Lee YK . Korean J Anesthesiol. 2008 May;54(5).
4. Myles PS, Hunt JO, Nightingale CE, Fletcher H, Beh T, Tanil D, Nagy A, Rubinstein A, Ponsford JL. Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in adults. Anesthesia & Analgesia. 1999 Jan 1;88(1):83-90.
5. Riding JE. Minor complications of general anaesthesia. British Journal of Anaesthesia. 1975 Feb 1;47(2):91-101.
6. Biro P,Seifert B ,Pasch T .Complaints of sore throat after tracheal intubation .a prospective evaluation.European journal of anaesthesiology.2005 April;22(4):307-11.
7. Arndt M, Hofmockel R, Benad G. Sore throat after use of the laryngeal mask and intubation. Anaesthesiologie und Reanimation. 1998;23(2):44-8.
8. Ayoub CM, Ghobashy A, Koch ME, McGrimley L, Pascale V, Qadir S, Ferneini EM, Silverman DG. Widespread application of topical steroids to decrease sore throat, hoarseness, and cough after tracheal intubation. Anesthesia & Analgesia. 1998 Sep 1;87(3):714-
9. Kloub R. Sore throat following tracheal intubation. Middle East journal of anaesthesiology. 2001 Feb;16(1):29-40.
10. Navarro RM, Baughman VL. Lidocaine in the endotracheal tube cuff reduces postoperative sore throat. Journal of clinical anesthesia. 1997 Aug 1;9(5):394-7
11. Rieger A, Brunne B, Hass I, Brummer G, Spies C, Striebel HW, Eyrich K. Laryngo-pharyngeal complaints following laryngeal mask airway and endotracheal intubation. Journal of clinical anesthesia. 1997 Feb 1;9(1):42-7.