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Effects of Alkalinized Intra-cuff Lidocaine on Postoperative Airway Complaints Following Cesarean Section

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Author(s)
이용철신용섭홍지희김애라장영호
Keimyung Author(s)
Lee, Yong CheolHong, Ji HeeKim, Ae RaJang, Young Ho
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Keimyung Medical Journal
Issued Date
2007
Volume
26
Issue
1
Keyword
Cesarean sectionHoarsenessLidocainePostoperative complaintsSore throat
Abstract
Many reports have described postoperative airway complaints after endotracheal intubation for general anesthesia, however, none have addressed cesarean sections. We investigated the incidence and severity of postoperative airway complaints in pregnant women
receiving elective general anesthesia and evaluated the effect of intratracheal cuff lidocaine
administration on these complaints. Two hundred and ninety-four pregnant women undergoing elective cesarean sections under general anesthesia, with American Society of Anesthesiologists physical status ratings Ⅰ or Ⅱ, were randomly assigned to the two groups having endotracheal tube cuffs inflated with either air (group A, mean volume = 6.4 ± 1.8 mL) or alkalinized lidocaine (group L, mean volume = 6.2 ± 1.5 mL) (n = 147 in each group). Alkalinization of lidocaine was achieved by the addition of 8.4% NaHCO3 to a 1:10 ratio of lidocaine:NaHCO3. The incidence and severity of postoperative sore throat (POST), hoarseness, and coughing were evaluated during the 24 hours immediately following cesarean sections. The incidence of POST, hoarseness, and coughing were decreased in the group L (67.3%, 53.7%, and 9.5%, respectively) compared to the group A (78.9%, 69.4%, and 19%, respectively) (p=0.025, 0.006, and 0.02, respectively). Intracuff lidocaine significantly attenuated the severity of hoarseness. There was no significant difference in Apgar scores in neonates between the two groups. Intra-cuff lidocaine effectively decreased the incidence and severity of postoperative airway complaints in pregnant women
undergoing cesarean sections without affecting fetal outcome.
Keimyung Author(s)(Kor)
이용철
홍지희
김애라
장영호
Publisher
Keimyung University School of Medicine
Citation
이용철 et al. (2007). Effects of Alkalinized Intra-cuff Lidocaine on Postoperative Airway Complaints Following Cesarean Section. Keimyung Medical Journal, 26(1), 5–12.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15384
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2007
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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