Pharmacological Prevention of Postoperative Sore Throat following General Anaesthesia with Endotracheal Intubation by Tramadol Gargle or 2% Topical Lidocaine Gel
Adel Amen Hama, Dr. Hussam Kareem Maghamis,
Dr. Imed Chouchene
Complication of sore throat is a common after anesthesia general. Various interventions have entraian explored to prevent this discomfort, including gargling with tramadol and application of topical lidocaine gel. Aim of study compare between effect gargling tramadol and prevention of sore throat by topical lidocaine gel after general anesthesia. Tramadol and lidocaine are two drugs that are commonly used to relieve sore throats that occur after general anesthesia. Both medications can effectively manage postoperative sore throats, but there is a debate regarding which medication is more effective. This study was done at Imam Ali Hospital, Iraq, within this period from January 2022 to October 2022. This study was applied to sixty patients list for surgery (elective) by general anesthesia. First group used 30 patients using topical Lidocaine gel 2%.The other group of 30 patients used Tramadol gargle. We obtained the symptoms of respiratory (cough, hoarseness of voice, and sore throat) one-hour post-extubating and patient satisfaction after endotracheal intubation. We found no difference (significant) in the proportions of "no sore throat," "minimal sore throat," "no cough," and "minimal cough" between the Tramadol gargle and topical lidocaine gel groups. However, the group using topical lidocaine gel had a significantly higher proportion of patients with no hoarseness compared to the group using tramadol gargle. The difference in proportions for minimal hoarseness (was not significant) between the two groups.
Keywords: Sore throat, Tramadol, Topical lidocaine gel
