PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 68, No. 5, OCTOBER 2018

FREQUENCY OF LARYNGOSPASM IN AWAKE VERSUS DEEP EXTUBATION AFTER INTRANASAL SURGERY

Syed Ehtesham Haider Naqvi, Rao Ali Shan Khan*, Nadeem Ahmed**, Usman Eijaz Malik**, Muhammad Yasir Rafiq**

Abstract

Objective: To compare the frequency of laryngospasm in awake versus deep extubation after intranasal surgery.
Study Design: Randomized controlled trial.
Place and Duration of Study: The study was carried out at Combined Military Hospital Rawalpindi which is a tertiary care hospital, after seeking permission from Hospital Ethics Committee. Study was carried out for six months, from Feb 2013 till Aug 2013.
Material and Methods: Two hundred and fifty patients fulfilling the inclusion criteria were selected for this study and divided into two groups of 125 each. Patients of group A were extubated fully awake while the patients assigned to group B were extubated during deep anaesthesia. Patients were then monitored closely for 30 minutes to assess whether they developed laryngospasm or not.
Results: The mean age in group-A was 23.92 ± 5.01 years and in group-B was 24.16 ± 5.56 years. The mean height in group-A was 169.53 ± 4.74cm and in group-B was 170.42 ± 4.34 cm. The mean weight in group-A was 66.18 ± 6.31 kg and in group-B was 65.67 ± 6.00 kg. In group-A 72% patients were male and 28% were female while in group-B 76% patients were male and 24% patients were female. In group-A 9 (7.2%) patients developed laryngospasm and in group B 6 (4.8%) patients developed laryngospasm.
Conclusion: There is no difference in frequency of laryngospasm in awake versus deep extubation after intranasal surgery.

Keywords : Awake extubation, Deep extubation, Intranasal surgery, Laryngospasm.



Creative Commons License
This is an Open Access article distributed under the terms of the Creative Commons Attribution License Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.