Effectiveness Of 5 percentage EMLA Cream in reducing Post Operative Sore Throat in adults undergoing General Anaesthesia A prospective observational study

Title:Effectiveness Of 5% EMLA Cream in reducing Post Operative Sore Throat in adults undergoing General Anaesthesia - A prospective observational study

The patients who meet the inclusion criteria will be selected for this study. After obtaining approval from the ethical committee, the data will be collected. The basic parameters are collected from the patient and Mallampati and Cormack lehane grading will be assessed. Mallampati grading is a clinical assessment used to evaluate the visibility of structures in the mouth and throat to help predict the difficulty of intubation. CLASS I (full visibility of all structures), CLASS 2(Soft palate, fauces, and uvula visible), CLASS 3(Soft palate and base of uvula visible), CLASS 4(Only hard palate visible; soft palate not visible). Cormack-Lehane grading is a system used to describe the view of the larynx during direct laryngoscopy, primarily to assess the difficulty of intubation. Grade I: Full view of the glottis (vocal cords visible). Grade II: Partial view of the glottis (only posterior part visible). Grade III: Only epiglottis visible; no part of the glottis seen. Grade IV: Neither glottis nor epiglottis visible. It will be performed each time by simple random sampling method by using a computerized randomizing software.Once the patient is shifted to operation theatre. An expert anaesthesiologist with at least 3 years of experience will perform direct mild laryngoscopy and intubation within 15 seconds. Lubricating ETT with 5% EMLA Cream. After surgery, the patient will be transferred to the post-operative unit and monitored for POST at 4th, 6th, and 24th hours to assess its severity. POST refers to symptoms such as throat soreness, coughing, and hoarseness within 24 hours Post surgery. [3] POST intensity will be classified into four levels: none (grade 0), mild (grade 1-Less than a common cold), moderate (grade 2-Similar to a common cold), and severe (grade 3-More than a common cold)  Grade 2 and 3 POST was considered as significant POST. Cough severity will be categorized as NO COUGH (0-no cough at any time since the operation), MILD (1-mild cough or occasional cough), MODERATE (2-similar to a common cold), and SEVERE (3-more than a common cold ). Hoarseness of voice will be classified as NO HOARSENESS (0-no evidence of hoarseness at any time after operation), MINIMAL (1-no hoarseness at the time of interview but was present previously), MODERATE (2-moderate change in quality of speech ), or SEVERE (3-recognizable at the time of interview)12. Visual analog scale is used to assess the patient satisfaction/comfort and pain. Patients will be monitored for any potential adverse effects, including allergic responses. Participants in the study who experience post-operative sore throat despite using 5% EMLA cream will be treated according to department and hospital protocols.