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18262

Magnesium Sulfate Nebulizer versus Ketamine Nebulizer in Decreasing Incidence and Severity of Post Operative Sore Throat with Endotracheal Intubation in Adults

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Last updated: 24 Dec 2024

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Abstract

Background: Endotracheal intubation is the prominent cause of airway mucosal injury which results in postoperative sore throat (POST), with an incidence of 21%–65%. Although this complication is minor, if left unresolved, it produces significant agony and annoyance to the patient.
Aim of the Work: to compare efficacy of magnesium/ nebulizer versus ketamine nebulizer in decreasing postoperative sore throat incidence, severity and duration with fixed endotracheal tube intra cuff pressure at or below 20 cm H2O using handheld tracheal cuff pressure monitor in adults ASA (American Society of Anesthesiologists) I-II in 20-60 years age group of either sex in operations less than 2 hours. Methodology: our study included 90 adult patients, status I-II (ASA I-II) in the age group 20-60 years, of either sex undergoing operation under general anesthesia (GA) scheduled for a day case surgery and operation time less than 2 hours with fixation of endotracheal tube cuff at 20 cm H2O using hand held tracheal cuff pressure monitor (Pressure Gauge) and checked every half hour till end of surgery and maintained at or below 20 cm H2O. Results: Our study showed reduction in POST incidence and severity after preoperative magnesium sulfate nebulization in all time points 0, 2, 4, 8, 12 and 24 hours postoperative, so it was proved that magnesium nebulizer has great role in reduction of incidence, severity and duration of POST. Conclusion: we concluded that preoperative magnesium sulfate nebulization reduce incidence and severity of POST and it is more effective than preoperative ketamine nebulization.  

DOI

10.21608/ejhm.2018.18262

Keywords

Magnesium Sulfate Nebulizer, Ketamine Nebulizer, Post Operative Sore Throat

Authors

First Name

Essam Ali

Last Name

Mostafa

MiddleName

-

Affiliation

Anesthesia and Intensive Care Medicine and Pain Management Department, Faculty of Medicine, Al- Azhar University

Email

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City

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Orcid

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First Name

Ahmed Saied

Last Name

Abdel Rahman

MiddleName

-

Affiliation

Anesthesia and Intensive Care Medicine and Pain Management Department, Faculty of Medicine, Al- Azhar University

Email

-

City

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Orcid

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First Name

Mahmoud Darwish

Last Name

Mahmoud

MiddleName

-

Affiliation

Anesthesia and Intensive Care Medicine and Pain Management Department, Faculty of Medicine, Al- Azhar University

Email

mahmoud.darwish.med@gmail.com

City

-

Orcid

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Volume

73

Article Issue

8

Related Issue

3731

Issue Date

2018-10-01

Receive Date

2018-11-02

Publish Date

2018-10-01

Page Start

7,244

Page End

7,250

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 73_Issue 8_Pages 7244-7250.pdf

PDF . 316.5kB

Link

https://ejhm.journals.ekb.eg/article_18262.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=18262

Order

7

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Magnesium Sulfate Nebulizer versus Ketamine Nebulizer in Decreasing Incidence and Severity of Post Operative Sore Throat with Endotracheal Intubation in Adults

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Article

Created At

22 Jan 2023