Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 11, Issue 4 (12-2022)
J Emerg Health Care 2022, 11(4): 1-10 |
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Rahmanian M, Kalani N, Razavizadegan S A, Jafari S M, Sahraei R. Comparison Of The Use Of Two Methods Of Lidocaine And Lubricant Gel On Reactions Coming Out Of Anesthesia With Two Methods Of Using Laryngeal Mask And Endotracheal Tube In Patients Undergoing Cataract Surgery: A Randomized Double-Blind Clinical Trial Study. J Emerg Health Care 2022; 11 (4) :1-10
URL: http://intjmi.com/article-1-927-en.html
URL: http://intjmi.com/article-1-927-en.html
Mohammad Rahmanian 
, Navid Kalani , Seyed Ahmad Razavizadegan , Shima Mohammad Jafari , Reza Sahraei *
, Navid Kalani , Seyed Ahmad Razavizadegan , Shima Mohammad Jafari , Reza Sahraei *
Anesthesiology, Critical care and pain management research center, Jahrom University of Medical Sciences, Jahrom, Iran.
Abstract: (2045 Views)
Abstract:
Background:
Cataract surgery should have the least stimulation reactions after anesthesia due to high sensitivity. The results of studies on the severity and duration of hemodynamic changes caused by endotracheal intubation and laryngeal mask have not yet reached definitive results, so the study aims to compare LMA and ETT using two methods of lidocaine and lubricant gel on the reactions Exit from anesthesia was performed in patients undergoing cataract surgery.
Methods:
This randomized clinical trial study was conducted on 90 patients undergoing cataract surgery. Patients were randomly divided in two groups and three subgroups receiving lidocaine gel, lubricant gel or normal saline. Episodes of cough, sore throat, and nausea and vomiting were recorded in the ophthalmology department during recovery 1, 6, 12, and 24 hours after surgery.
Results: The findings of the present study show that the groups have no significant differences in terms of demographic characteristics. In the lubricant, lidocaine and normal saline groups, there was no significant difference between the LMA and ETT groups in terms of complications after leaving anesthesia.
Conclusion:
In the lubricant, lidocaine and normal saline groups, there was no significant difference between the LMA and ETT groups in terms of complications after coming out of anesthesia. It is suggested to investigate this issue in different surgeries with more patients in future studies.
Background:
Cataract surgery should have the least stimulation reactions after anesthesia due to high sensitivity. The results of studies on the severity and duration of hemodynamic changes caused by endotracheal intubation and laryngeal mask have not yet reached definitive results, so the study aims to compare LMA and ETT using two methods of lidocaine and lubricant gel on the reactions Exit from anesthesia was performed in patients undergoing cataract surgery.
Methods:
This randomized clinical trial study was conducted on 90 patients undergoing cataract surgery. Patients were randomly divided in two groups and three subgroups receiving lidocaine gel, lubricant gel or normal saline. Episodes of cough, sore throat, and nausea and vomiting were recorded in the ophthalmology department during recovery 1, 6, 12, and 24 hours after surgery.
Results: The findings of the present study show that the groups have no significant differences in terms of demographic characteristics. In the lubricant, lidocaine and normal saline groups, there was no significant difference between the LMA and ETT groups in terms of complications after leaving anesthesia.
Conclusion:
In the lubricant, lidocaine and normal saline groups, there was no significant difference between the LMA and ETT groups in terms of complications after coming out of anesthesia. It is suggested to investigate this issue in different surgeries with more patients in future studies.
References
1. 1. Oliva MS, Schottman T, Gulati M. Turning the tide of corneal blindness. Indian journal of ophthalmology. 2012;60(5):423-7.
2. Bourne RR, Flaxman SR, Braithwaite T, Cicinelli MV, Das A, Jonas JB, et al. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. The Lancet Global Health. 2017;5(9):e888-e97.
3. Domino K. Closed malpractice claims for airway trauma during anesthesia. ASA Newsl. 1998;62(10):e1.
4. Sikka PK, Beaman ST, Street JA. Basic clinical anesthesia: Springer; 2015.
5. White PF, Wang B, Tang J, Wender RH, Naruse R, Sloninsky A. The effect of intraoperative use of esmolol and nicardipine on recovery after ambulatory surgery. Anesthesia & Analgesia. 2003;97(6):1633-8.
6. Lee S, Summers RM. Clinical artificial intelligence applications in radiology: chest and abdomen. Radiologic Clinics. 2021;59(6):987-1002.
7. Kim ES, Bishop MJ. Cough during emergence from isoflurane anesthesia. Anesthesia & Analgesia. 1998;87(5):1170-4.
8. Mottaghi K, Eftekharian A, Salimi A, Pouyanfar A, Jahangiri A, Nashibi M, et al. Comparison of post intubation complications of endotracheal tube and laryngeal mask airway in pediatrics. Annals of Anesthesiology and Critical Care. 2017;2(1):1-5.
9. Reimer R, Shine T. Laryngeal mask airway and Valsalva maneuver during ophthalmic surgery: a case report. AANA journal. 2016;84(6):423.
10. Peker G, Takmaz SA, Baltaci B, Basar H, Kotanoglu M. Comparison of four different supraglottic airway devices in terms of efficacy, intra-ocular pressure and haemodynamic parameters in children undergoing ophthalmic surgery. Turkish Journal of Anaesthesiology & Reanimation. 2015;43(5):304.
11. Mendels EJ, Brunings JW, Hamaekers AE, Stokroos RJ, Kremer B, Baijens LW. Adverse laryngeal effects following short-term general anesthesia: a systematic review. Archives of Otolaryngology–Head & Neck Surgery. 2012;138(3):257-64.
12. Stevanovic A, Rossaint R, Keszei AP, Fritz H, Fröba G, Pühringer F, et al. Emergence times and airway reactions in general laryngeal mask airway anesthesia: study protocol for a randomized controlled trial. Trials. 2015;16(1):1-12.
13. Higgins P, Chung F, Mezei G. Postoperative sore throat after ambulatory surgery. British journal of anaesthesia. 2002;88(4):582-4.
14. Ahmed A, Abbasi S, Ghafoor HB, Ishaq M. Postoperative sore throat after elective surgical procedures. Journal of Ayub Medical College. 2007;19(2):12.
15. Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Cohen NH, Young WL. Miller's anesthesia e-book: Elsevier Health Sciences; 2014.
16. Guler G, Akin A, Tosun Z, Eskitascoglu E, Mizrak A, Boyaci A. Single‐dose dexmedetomidine attenuates airway and circulatory reflexes during extubation. Acta anaesthesiologica scandinavica. 2005;49(8):1088-91.
17. Vaziri MTM, Jouybar R, Vaziri NM, Vaziri NM, Panah A. Attenuation of cardiovascular responses and upper airway events to tracheal extubation by low dose propofol. Iranian Red Crescent Medical Journal. 2013;15(4):298.
18. Park P-G, Choi GJ, Kim WJ, Yang S-Y, Shin H-Y, Kang H, et al. A comparative study among normal saline, water soluble gel and 2% lidocaine gel as a SLIPA lubricant. Korean journal of anesthesiology. 2014;66(2):105-11.
19. Schebesta K, Güloglu E, Chiari A, Mayer N, Kimberger O. Topical lidocaine reduces the risk of perioperative airway complications in children with upper respiratory tract infections. Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 2010;57(8):745-50.
20. Gilani MT, Soleimani IM, Razavi M, Salehi M. Reducing sore throat following laryngeal mask airway insertion: comparing lidocaine gel, saline, and washing mouth with the control group. Revista brasileira de anestesiologia. 2015;65:450-4.
21. Sengupta S, Roy M. Use of lubricating jelly for laryngeal mask airways. Indian Journal of Anesthesia. 2011;55(5):545.
22. Keller C, Sparr H, Brimacombe J. Laryngeal mask lubrication: a comparative study of saline versus 2% lignocaine gel with cuff pressure control. Anaesthesia. 1997;52(6):593-7.
23. Chia Y-Y, Lee S-W, Liu K. Propofol causes less postoperative pharyngeal morbidity than thiopental after the use of a laryngeal mask airway. Anesthesia & Analgesia. 2008;106(1):123-6.
24. Damshenas MH, Rastgarian A, Ghanei M, Rahmanian M, Sanei MS, Hatami N, Kalani N, Sahraei R. Comparison of two methods of using lubricant gel and Normal saline when placing an airway laryngeal mask (LMA) on the symptoms of hemodynamics and anesthesia reactions in patients undergoing cataract surgery: A randomized double-blind clinical trial study. Pars Journal of Medical Sciences, 2022; 18(3): 11-20.
25. Hazrati E, Rafiei M, Rezakhaniha B, Taheri S, KAZEMI B. Comparison of laryngeal mask airway insertion with lubricant jel versus lidocaine jel during varicocelectomy. 2017.
26. Malhotra S, Singh M, Malhotra N. Tracheal morbidity following tracheal intubation: Comparison of air, saline and lignocaine used for inflating cuff. Journal of Anaesthesiology Clinical Pharmacology. 2007;23(2):163-7.
27. Wetzel LE, Ancona AL, Cooper AS, Kortman AJ, Loniewski GB, Lebeck LL. The Effectiveness of 4% Intracuff Lidocaine in Reducing Coughing During Emergence From General Anesthesia in Smokers Undergoing Procedures Lasting LessThan 1.5 Hours. AANA journal. 2008;76(2).
28. Fagan C, Frizelle HP, Laffey J, Hannon V, Carey M. The effects of intracuff lidocaine on endotracheal-tube-induced emergence phenomena after general anesthesia. Anesthesia & Analgesia. 2000;91(1):201-5.
29. Groeben H, Peters J. Lidocaine exerts its effect on induced bronchospasm by mitigating reflexes, rather than by attenuation of smooth muscle contraction. Acta anaesthesiologica scandinavica. 2007;51(3):359-64.
30. Woolf CJ, Salter MW. Neuronal plasticity: increasing the gain in pain. science. 2000;288(5472):1765-8.
31. Brimacombe J, Holyoake L, Keller C, Brimacombe N, Scully M, Barry J, et al. Pharyngolaryngeal, neck, and jaw discomfort after anesthesia with the face mask and laryngeal mask airway at high and low cuff volumes in males and females. The Journal of the American Society of Anesthesiologists. 2000;93(1):26-31.
32. Combes X, Schauvliege F, Peyrouset O, Motamed C, Kirov K, Dhonneur G, et al. Intracuff pressure and tracheal morbidity: influence of filling cuff with saline during nitrous oxide anesthesia. The Journal of the American Society of Anesthesiologists. 2001;95(5):1120-4.
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