Comparison of oropharyngeal pack soaked in lignocaine with sodabicarbonate and lignocaine with dexamethasone in patients undergoing nasal surgeries

Dr. Sadhana Sanwatsarkar; Dr. Raghav Sain Gupta; Dr. Meghna Maheshwari; Yawar Rashid Rather

Volume : VII, Issue : IV, April - 2018

Comparison of oropharyngeal pack soaked in lignocaine with sodabicarbonate and lignocaine with dexamethasone in patients undergoing nasal surgeries

Dr. Sadhana Sanwatsarkar, Dr. Raghav Sain Gupta, Dr. Meghna Maheshwari, Yawar Rashid Rather

Abstract :

Aim: To study the effectiveness and comparison of combination of lignocaine with sodabicarbonate and lignocaine with dexamethasone used in oropharyngeal pack in reducing postoperative sore throat (POST), hoarseness and throat irritation.

Materials and methods: Sixty patients undergoing nasal surgeries were randomly allocated into two groups of 30 each. Group LS received lignocaine &sodabicarbonate and Group LD received lignocaine & dexamethasone in oropharyngeal packing. Variables were analysed such as vital parameters, incidence of POST, hoarseness and throat irritation.

Results: POST, hoarseness and throat irritation were present in 80%, 26.6% & 100% patients in Group LS, and 53.3%, 10% & 70% patients in Group LD respectively. No significant change in hemodynamic parameters was seen in the two groups. As compared to Group LS, Group LD showed a statistically significant decrease in incidence of POST and throat irritation. A decrease in incidence of hoarseness was also seen in Group LD.

Conclusion: In Group LD as compared to Group LS, a positive benefit is seen in form of reduction of POST, hoarseness and throat irritation helping in better recovery of patients.