COMPARISON OF KETAMINE GARGLE WITH TRAMADOL GARGLE IN ATTENUATING POSTOPERATIVE SORE THROAT FOLLOWING ENDOTRACHEAL INTUBATION

Dr. Sandeep Kudva; Dr. Radhesh Hegde

Volume : X, Issue : V, May - 2020

COMPARISON OF KETAMINE GARGLE WITH TRAMADOL GARGLE IN ATTENUATING POSTOPERATIVE SORE THROAT FOLLOWING ENDOTRACHEAL INTUBATION

Dr. Sandeep Kudva, Dr. Radhesh Hegde

Abstract :

Background– Postoperative sore throat (POST) is a common complaint in individuals undergoing general anaesthesia. It has the potential to not only diminish patient satisfaction, but also increase the need for adjunct pain therapy in the post anaesthesia care unit. Aim of this study to assess the effectiveness of preoperative oral ketamine gargle and tramadol gargle in reducing the incidence of postoperative sore throat following endotracheal intubation. Material and method– The study was observational, hospital based analytical study conducted on 42 patients undergoing elective surgery under general anaesthesia with oral endotracheal intubation. Patients aged between 18 to 60 years belonging to ASA class I and Class II, divided into 2 groups of 21 patients each. Patients were given 30 ml of study solution to gargle for 30 seconds, 5 minutes prior to induction of Anaesthesia. Group K received gargle solution contains 50mg ketamine in 30ml sterile water and Group T received gargle solution contains 100mg tramadol in 30ml sterile water Results– In Group K the incidence of POST at 0, 2, 4, 24 hours was 19%, 14.3%, 9.5%, 0% and in Group T the incidence of POST was 28.6%, 28.6%, 19%, 9.5% respectively. The incidence of POST with Group T was marginally more but statistically not significant. Conclusion– Preoperative Tramadol gargle is comparable with Ketamine gargle in reducing the incidence and severity of POST in patients following surgery under General Anaesthesia with endotracheal intubation.