Şule ARICAN, Resul YILMAZ, Gülçin HACIBEYOĞLU, Ayşegül BİLGE, Rabia YAMAN, Ahmet TOPAL, Sema TUNCER

Laringeal maske yerleşim sonrası postoperatif boğaz ağrısı sıklığının önlenmesinde intravenöz lidokain ve intravenöz lidokain/parasetamol kombinasyonunun karşılaştırılması

Amaç: Laringeal maske airway ile genel anestezi sonrası postoperatif boğaz ağrısı sık görülen ve istenmeyen bir komplikasyondur. Bu komplikasyonu önlemek için literatürde pekçok ajan ve metod vardır. Fakat lidokain ve lidokain-parasetamol kombinasyonunu karşılaştıran bir çalışma yoktur. Bu çalışmanın amacı laringeal maske airway ile genel anestezi uygulanan hastalarda, sistemik lidokain ile sistemik lidokain-parasetamol kombinasyonunun postoperatif boğaz ağrısı üzerine etkilerini karşılaştırmaktır. Yöntemler: Kesitsel çalışmaya laringeal maske airway ile genel anestezi altında elektif inguinal herni cerrahisi olan, 18 yaşından büyük ASA fiziksel statüsü I-III olan 80 hasta dahil edildi. LidoPara grubuna 1mg/kg lidokain+10 mg/kg parasetamol, Lido grubuna 1mg/kg Lidokain uygulandı. Postoperatif 0, 2, 4 ve 24. saatlerde istirahat ve yutma boğaz ağrısı ve ses kısıklığı 4 puanlı bir skala ile değerlendirildi. Bulgular: Hastaların demografik verileri benzerdi (P>0.05). İki grup arasında postoperatif 0, 2, 4 ve 24. saatlerde istirahat ve yutma boğaz ağrısı yönünden istatistiksel olarak anlamlı farklılık yoktu. Postoperatif 4. ve 24. saatte her iki grupta da ses kısıklığı yoktu. Sonuç: Kombine parasetamol ve lidokainin postoperatif istirahat ve yutma esnasındaki boğaz ağrısını tek başına lidokain ile benzer şekilde etkilediği görüldü.

Anahtar Kelimeler:

Genel anestezi, Laryngeal maske airway, Lidokain, Parasetamol, Boğaz ağrısı

Comparison of intravenous lidocaine and intravenous lidocaine/paracetamol in prevention of postoperative sore throat after laryngeal mask insertion

Aim: Postoperative sore throat after general anesthesia with laryngeal mask airway is a common and undesirable complication. There are many agents and methods to prevent this complication. However, there is no study comparing intravenous lidocaine and lidocaine-paracetamol combination in the literature. The objective of this study was to compare the effects of systemic lidocaine and systemic lidocaine-paracetamol combination on postoperative sore throat in patients who underwent general anesthesia with laryngeal mask airway. Methods: A total of 80 patients aged over 18 years with ASA I-III who underwent elective inguinal hernia surgery under general anesthesia with laryngeal mask airway were included in this cross-sectional study. Group LidoPara was administered 1 mg kg-1 lidocaine + 10 mg kg-1 paracetamol, and Group Lido, 1 mg kg-1 lidocaine. Resting and swallowing sore throat and hoarseness were evaluated with a 4-point scale at the postoperative 0th, 2nd, 4th, and 24th hours. Results: Demographic data of the patients were similar (P>0.05). There was no statistically significant difference between the two groups in terms of resting and swallowing sore throat at the postoperative 0th, 2nd, 4th, and 24th hours. No hoarseness was found in both groups at the postoperative 4th and 24th hours. Conclusion: Combined paracetamol and lidocaine was found to affect postoperative resting and swallowing sore throat similar to lidocaine alone.

Keywords:

general anesthesia, laryngeal mask airway, lidocaine, paracetamol, sore throat,

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