Comparison of No-Touch Extubation with Conventional Awake Extubation in Patients Undergoing Tonsillectomy in General Anesthesia

Muhammad  Rizwan; Azmat Riaz; Chaudhry Amjad  Ali; Kaswar Sajjad  Ansari; Sajjad  Qureshi; Kaukab Majeed

doi:10.51253/pafmj.v75i3.11235

Authors

Muhammad Rizwan Department of Anesthesiology, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Azmat Riaz Department of Anesthesiology, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Chaudhry Amjad Ali Department of Anesthesiology, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Kaswar Sajjad Ansari Department of Medicine, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Sajjad Qureshi Department of Anesthesiology, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Kaukab Majeed Department of Anesthesiology, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i3.11235

Keywords:

Airway Extubation, Anesthesia Recovery Period, Extubation, Laryngismus, Respiratory Aspiration

Abstract

Objective: To compare frequency of side effects between “no-touch” extubation compared with “awake” tracheal extubation.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Quetta Pakistan, from Mar to Aug 2023.

Methodology: The study began after gaining ethical approval with sample size approximated through online sample size calculator and randomization done to divide patients into two groups, Group N, which underwent “no-touch” extubation and Group A, which underwent conventional awake extubation. The frequency of adverse reactions was noted with both tech-niques and data analysis was performed to compute statistical significance where p-value ≤0.05 was considered significant.

Results: Group N had fewer side effects at extubation when compared to Group A with coughing found in only 2(6.7%) and bucking in only 3(10%) patients from Group N. Laryngospam, tongue fall, breath holding and emergence delirium was not reported in any of Group N patients but it was present in 3(10%), 7(23.3%), 4(13%) and 3(10%) patients from Group A.

Conclusion: “No-touch” extubation was a better and safer alternative to “awake” extubation in terms of fewer adverse events encountered by patients.

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