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Two-handed jaw thrust decreases postoperative sore throat in patients undergoing double-lumen endobronchial intubation: A randomised study

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Affiliated Author(s)
이지원박지훈
Alternative Author(s)
Lee, Ji WonPark, Ji Hoon
Journal Title
European journal of anaesthesiology
ISSN
1365-2346
Issued Date
2020
Abstract
BACKGROUND:
Tracheal intubation using a double-lumen endobronchial tube (DLT) causes postoperative sore throat.

OBJECTIVE:
To determine the effect of two-handed jaw thrust on postoperative sore throat in patients requiring insertion of a DLT.

DESIGN:
A randomised study.

SETTING:
A tertiary teaching hospital from December 2017 to May 2018.

PATIENTS:
One-hundred and six patients undergoing one-lung anaesthesia.

INTERVENTIONS:
Patients were allocated to one of two groups (n=53 each). In the jaw thrust group, the two-handed jaw thrust manoeuvre was applied at intubation and advancement of the DLT. In the control group, conventional intubation with a sham jaw thrust was performed.

MAIN OUTCOME MEASURES:
Incidence of sore throat at 1, 6 and 24 h postoperatively.

RESULTS:
The incidence of sore throat at 6 h postoperatively was higher in the control group than in the jaw thrust group [31 (59%) vs. 14 (26%), risk ratio (95% confidence interval) 0.45 (0.27 to 0.75), P < 0.01]. The overall incidence of sore throat was higher in the control group than in the jaw thrust group [35 (66%) vs. 18 (34%), risk ratio (95% confidence interval) 0.51 (0.34 to 0.78), P < 0.01].

CONCLUSION:
The jaw thrust manoeuvre can reduce the incidence of sore throat in patients undergoing DLT insertion for one-lung ventilation.
Department
Dept. of Anesthesiology &amp; Pain Medicine (마취통증의학)
Publisher
School of Medicine (의과대학)
Citation
Jeong J Park. (2020). Two-handed jaw thrust decreases postoperative sore throat in patients undergoing double-lumen endobronchial intubation: A randomised study. European journal of anaesthesiology, 37(2), 105-112. doi: 10.1097/EJA.0000000000001149
Type
Article
DOI
10.1097/EJA.0000000000001149
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/43065
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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