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Effect of Saline Lubrication on Post-intubation Complications

Not Applicable
Completed
Conditions
Postoperative Sore Throat
Interventions
Procedure: Saline group
Procedure: Dry group
Registration Number
NCT02492646
Lead Sponsor
Seoul National University Hospital
Brief Summary

The purpose of this study is to evaluate the influence of none-lubricated dry tube on the incidence of Postoperative Sore Throat (POST) after general anesthesia with endotracheal intubation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
300
Inclusion Criteria
  • patients aged between 20-80 years who were scheduled for surgery under general anesthesia requiring orotracheal intubation
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Exclusion Criteria
  • history of gastroesophageal reflux disease (GERD)
  • congenital or acquired abnormalities of the upper airway such as tumor, polyp, trauma, abscess, inflammation, infection, or foreign bodies
  • previous airway surgery; increased risk of aspiration
  • coagulation disorders
  • previous history of difficult intubation or conditions with expected difficult airway including Mallampati classification ≥ 3 or thyromental distance < 6.5 cm
  • Using the other intubation devices beyond the direct laryngoscopy such as lighted stylet or fiberoptic bronchoscopy
  • symptoms of sore throat or upper respiratory tract infection
  • expected to place nasogastric tube during perioperative period
  • requiring nasotracheal intubation
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Saline groupSaline groupIn the saline group, disposable endotracheal tube was immersed in the 1 liter of sterile 0.9% sodium chloride irrigation solution before anesthetic induction.
Dry groupDry groupIn the dry group, endotracheal tube was peeled off from sterile packing just before orotracheal intubation.
Primary Outcome Measures
NameTimeMethod
incidence of postoperative sore throat (POST)until one day after surgery

ask patients whether they have sore throat after surgery

Secondary Outcome Measures
NameTimeMethod
severity of postoperative sore throat (POST)When arriving at postanesthesia care unit (PACU) and thereafter 2, 4, and 24 hours after the surgery

The severity of POST was evaluated on a 4-point-scale : 0, no sore throat; 1, mild sore throat (complained of sore throat only upon inquiry); 2, moderate sore throat (complained of sore throat on his/her own); 3, severe sore throat (change of voice or hoarseness, associated with throat pain)

Oropharyngeal injury2 hours and 24 hours after surgery

assessed by direct visualization of the oropharyngeal cavity with regard to the location such as pharyngeal wall, uvula, vallecular, tonsillar fossa and pillars and presence of hyperemia, edema, hematoma, or any other lesions

respiratory symptoms1 week after the surgery

At the 1 week postoperative follow-up phone call, patients would be asked if they have upper respiratory symptoms such as cough, sputum, sore throat or fever. And if so, they would be checked if they diagnosed following diseases, common cold, tonsillitis, pneumonia or any other possible respiratory infectious diseases.

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

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