Anesthesia: Essays and Researches

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 16  |  Issue : 3  |  Page : 311--315

The comparison of inflation of cuff with 1% propofol, 4% lignocaine, or 0.9% saline on laryngotracheal morbidity


Priyamvada Gupta1, Sunita Sharma2, Anshul Vishnoi3, Sakshi Kanoji3, Khayyam Moin3 
1 Department of Critical Care, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
2 Department of Neuroanesthesia, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
3 Department of General Anesthesia, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Anshul Vishnoi
251/24, Pratap Enclave, Pratap Nagar, Jaipur - 302 022, Rajasthan
India

Background and Aim: While administering general anesthesia requiring endotracheal intubation, it is a common practice to inflate the cuff with air. Continuous pressure exerted by cuff on mucosa may lead to postoperative complaints such as sore throat, cough, and dysphagia, which are very disturbing to the patient. Hence, we hypothesized that inflation of cuff with propofol may reduce the incidence of these complications as a result of cushioning effect as well as non-diffusion of nitrous oxide into it. Our aim was to compare the effects of inflation of endotracheal tube cuff with 0.9% saline, 4% lignocaine, and 1% propofol on the incidence of postoperative morbidity in terms of cough, sore throat, dysphonia, and dysphagia with general anesthesia using nitrous oxide. Methods: Patients scheduled for elective surgery under general anesthesia were randomly allocated into four equal groups of thirty each as per cuff inflation media: air (Group A), 0.9% saline (Group S), 4% lidocaine (Group L), and 1% propofol (Group P). The incidence of cough was noted at 15, 30 and 60 min after extubating. The occurrence and severity of postoperative sore throat (POST) was evaluated at 2, 6, and 24 h after extubating. Results: The incidence of cough was maximum in Group A and minimum in Group P (P < 0.05). The occurrence of POST was highest in Group A, followed by Group S and Group L, and least in Group P. The hemodynamic parameters were comparable with no statistical difference in all the four groups (P < 0.05). Conclusion: The intracuff 1% propofol is superior to 4% xylocaine and normal saline in the prevention of cough and sore throat postoperatively, whereas inflation of cuff with air leads to maximum incidence of these complications.


How to cite this article:
Gupta P, Sharma S, Vishnoi A, Kanoji S, Moin K. The comparison of inflation of cuff with 1% propofol, 4% lignocaine, or 0.9% saline on laryngotracheal morbidity.Anesth Essays Res 2022;16:311-315


How to cite this URL:
Gupta P, Sharma S, Vishnoi A, Kanoji S, Moin K. The comparison of inflation of cuff with 1% propofol, 4% lignocaine, or 0.9% saline on laryngotracheal morbidity. Anesth Essays Res [serial online] 2022 [cited 2023 Jan 27 ];16:311-315
Available from: https://www.aeronline.org/article.asp?issn=0259-1162;year=2022;volume=16;issue=3;spage=311;epage=315;aulast=Gupta;type=0