ABSTRACT
Postoperative sore throat (POST) is a minor complication after general anaesthesia. Many agents have been used as lubricant to reduce the incidence of POST with variable efficacy. Methods: We conducted a study to compare the incidence of POST with 0.05% betamethasone gel and 2% lignocaine jelly as a lubricant for LMA insertion in patients undergoing general anaesthesia. Sixty subjects were divided randomly into two groups. Patients in Group B (n = 30) had 2.5 ml of 0.05% of betamethasone gel while the Group L had 2.5 ml of 2% lignocaine jelly applied on the cuff of LMA. After standard induction and insertion of LMA cuff inflated to 60 cm of H2O and was maintained at the same throughout the surgery. Results: In PACU, patients were inquired about sore throat at immediate and 24 h post operative period. POST was not observed in any of the patients of Group B. In group L 13% of the patients had 1st degree and 3% had 2nd degree of sore-throat in immediate post-operative period. After 24 h 3%patients had 1st degree sore-throat and 1% patients had 2nd degree of sore-throat in Group L patients. Conclusion: We conclude that lubricating cuff of LMA with 0.05% of betamethasone gel is effective in reducing the incidence of POST.
ABSTRACT
Background: Postoperative sore throat (POST) is a slightcomplication after general anaesthesia. Numerous agents havebeen used as lubricant to lessen the incidence of POST withvariable efficacy.Methods: We compare the incidence of POST with 0.05%betamethasone gel and 2% lignocaine jelly as a lubricant forLMA insertion in patients undergoing general anaesthesia.Sixty subjects were separated randomly into two groups.Patients in Group B (n = 30) had 2.5 ml of 0.05% ofbetamethasone gel while the Group L had 2.5 ml of 2%lignocaine jelly applied on the cuff of LMA. After criterioninduction and insertion of LMA cuff inflated to 60 cm of H2Oand was maintained at the same throughout the surgery.Results: In PACU, patients evaluated about sore throat atimmediate and 24 h post-operative period. POST was not seenin any of the patients of Group B. In group L 13% of thepatients had 1st degree and 3% had 2nd degree of sore-throatin immediate post-operative period. After 24 h 3%patients had1st degree sore-throat and 1% patients had 2nd degree ofsore-throat in Group L patients.Conclusion: We conclude that lubricating cuff of LMA with0.05% of betamethasone gel is efficient in reducing theincidence of POST.
ABSTRACT
There are different types of foreign objects, which may be difficult to imagine that have been documented in the literature as foreign body urethra. These bodies may be inserted into the urethra by self, migration from adjacent sites or iatrogenic rarely. Regardless of the motive for insertion, the extraction can be challenging and requires the creative organization of the full armamentarium of the specialists. The extraction techniques include open, laparoscopic, and endoscopic surgeries or combination of these. We present a case of 45 years old psychologically stable patient who came to the Outpatient Department with a lignocaine jelly cap as a foreign body in urethra, which was taken out with the open method under local anesthesia.