POST EXTUBATION THROAT IRRITATION

[kalpesh shah]

Hi, incidence of post extubation throat irritation is quite high even after useing all various methods like lignocaine spray, lignocaine gelly, use of HME filter, adequate size ET tube, monitoring endotracal cuff presser(manually!!!!!).
what is the best way for prevantion?

regards.

[sandiphari]

ET TUBE SIZE ONE NO. SMALLER THAN NORMAL/ LIGN. SPRAY /NO JELLY  WILL HELP. LMA WILL IDEAL TO PREVENT SORETHROAT.

[jafo1964]

The incidence of sore throat after

ETT intubation is 1 in 2  - 50%
LMA is 1 in 5 - 20%
Facemask is  1 in 7 - 16%

so everything has been tried and nothing works effectively

best thing to do is warn the patient pre-op to expect the throat discomfort

regs

[kalpesh shah]

Thanks for your valuable reply.

[dimple parekh]

Hi, incidence of post extubation throat irritation is quite high even after useing all various methods like lignocaine spray, lignocaine gelly, use of HME filter, adequate size ET tube, monitoring endotracal cuff presser(manually!!!!!).
what is the best way for prevantion?

regards.

steroids intraopt.spray the cords with 1/2 cc diluted xylocard

[yogenbhatt1]

Hi,
Dr. Dimple, You mentioned 2 % Xylocain spray. Have you ever tried 10 % Xylocain spray available in market? It is most convinient to use and good action.
And that will only prevent cord irritation. Trachea is still sore. LMA is also painful. At times there is avulstion of palate mucosa, which gives severe pain and dysphagia.