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Effect of magnesium sulfate nebulization on the incidence of postoperative sore throat

BACKGROUND AND AIMS: Postoperative sore throat (POST) is a well-recognized complication after general anesthesia (GA). Numerous nonpharmacological and pharmacological measures have been used for attenuating POST with variable success. The present study was conducted to compare the efficiency of preo...

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Autores principales: Yadav, Monu, Chalumuru, Nitish, Gopinath, Ramachandran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874068/
https://www.ncbi.nlm.nih.gov/pubmed/27275043
http://dx.doi.org/10.4103/0970-9185.173367
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author Yadav, Monu
Chalumuru, Nitish
Gopinath, Ramachandran
author_facet Yadav, Monu
Chalumuru, Nitish
Gopinath, Ramachandran
author_sort Yadav, Monu
collection PubMed
description BACKGROUND AND AIMS: Postoperative sore throat (POST) is a well-recognized complication after general anesthesia (GA). Numerous nonpharmacological and pharmacological measures have been used for attenuating POST with variable success. The present study was conducted to compare the efficiency of preoperative nebulization of normal saline and magnesium sulfate in reducing the incidence of POST following GA. MATERIALS AND METHODS: Following institutional ethical committee approval and written informed consent, a prospective randomized double-blinded study was conducted in 100 cases divided into two equal groups. Patients included in the study were of either gender belonging to American Society of Anesthesiologist (ASA) status 1 or 2 undergoing elective surgery of approximately 2 h or more duration requiring tracheal intubation. Patients in Group A are nebulized with 3 ml of normal saline and the patients in Group B are nebulized with 3 ml of 225 mg isotonic nebulized magnesium sulfate for 15 min, 5 min before induction of anesthesia. The incidence of POST at rest and on swallowing and any undue complaints at 0, 2, 4, and 24 h in the postoperative period are evaluated. RESULTS: There is no significant difference in POST at rest during 0(th), 2(nd) and 4(th) h between normal saline and MgSO(4). Significant difference is seen at 24(th) h, where MgSO(4) lessens POST. There is no significant difference in POST on swallowing during 0(th) and 2(nd) h between normal saline and MgSO(4). Significant difference is seen at 4(th) h, where MgSO(4) has been shown to lessen POST. CONCLUSIONS: MgSO(4) significantly reduces the incidence of POST compared to normal saline.
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spelling pubmed-48740682016-06-06 Effect of magnesium sulfate nebulization on the incidence of postoperative sore throat Yadav, Monu Chalumuru, Nitish Gopinath, Ramachandran J Anaesthesiol Clin Pharmacol Original Article BACKGROUND AND AIMS: Postoperative sore throat (POST) is a well-recognized complication after general anesthesia (GA). Numerous nonpharmacological and pharmacological measures have been used for attenuating POST with variable success. The present study was conducted to compare the efficiency of preoperative nebulization of normal saline and magnesium sulfate in reducing the incidence of POST following GA. MATERIALS AND METHODS: Following institutional ethical committee approval and written informed consent, a prospective randomized double-blinded study was conducted in 100 cases divided into two equal groups. Patients included in the study were of either gender belonging to American Society of Anesthesiologist (ASA) status 1 or 2 undergoing elective surgery of approximately 2 h or more duration requiring tracheal intubation. Patients in Group A are nebulized with 3 ml of normal saline and the patients in Group B are nebulized with 3 ml of 225 mg isotonic nebulized magnesium sulfate for 15 min, 5 min before induction of anesthesia. The incidence of POST at rest and on swallowing and any undue complaints at 0, 2, 4, and 24 h in the postoperative period are evaluated. RESULTS: There is no significant difference in POST at rest during 0(th), 2(nd) and 4(th) h between normal saline and MgSO(4). Significant difference is seen at 24(th) h, where MgSO(4) lessens POST. There is no significant difference in POST on swallowing during 0(th) and 2(nd) h between normal saline and MgSO(4). Significant difference is seen at 4(th) h, where MgSO(4) has been shown to lessen POST. CONCLUSIONS: MgSO(4) significantly reduces the incidence of POST compared to normal saline. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4874068/ /pubmed/27275043 http://dx.doi.org/10.4103/0970-9185.173367 Text en Copyright: © 2016 Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Yadav, Monu
Chalumuru, Nitish
Gopinath, Ramachandran
Effect of magnesium sulfate nebulization on the incidence of postoperative sore throat
title Effect of magnesium sulfate nebulization on the incidence of postoperative sore throat
title_full Effect of magnesium sulfate nebulization on the incidence of postoperative sore throat
title_fullStr Effect of magnesium sulfate nebulization on the incidence of postoperative sore throat
title_full_unstemmed Effect of magnesium sulfate nebulization on the incidence of postoperative sore throat
title_short Effect of magnesium sulfate nebulization on the incidence of postoperative sore throat
title_sort effect of magnesium sulfate nebulization on the incidence of postoperative sore throat
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874068/
https://www.ncbi.nlm.nih.gov/pubmed/27275043
http://dx.doi.org/10.4103/0970-9185.173367
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