Efficacy of 2% Lignocaine Gel Applied to Throat Pack in Preventing Sore Throat Following Surgery in Patients Undergoing Nasopharyngeal Surgery

Hira Latif; Abdullah; Muhammad Saeed; Muhammad Yasrab; Syed Majid Waseem; Najm Us  Saqib

doi:10.51253/pafmj.v76i1.12141

Authors

Hira Latif Department of Anesthesiology, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Abdullah Department of Anesthesiology, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Muhammad Saeed Department of Anesthesiology, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Muhammad Yasrab Department of Anesthesiology, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Syed Majid Waseem Department of Anesthesiology, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Najm Us Saqib Department of Anesthesiology, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i1.12141

Keywords:

Hoarseness, Lignocaine, Oropharynx, Sore throat

Abstract

Objective: To compare the efficacy of 2% Lignocaine gel applied to throat pack with 0.9% Normal Saline in preventing sore throat postoperatively in patients undergoing nasopharyngeal procedures.

Study Design: Quasi Experimental

Place and Duration of Study: Department of Anesthesiology Combined Military Hospital Multan, Pakistan from Sep 2023 to Feb 2024.

Methodology: One hundred and twenty patients undergoing nasopharyngeal surgeries were allocated randomly in two groups, Group-X throat pack with Lignocaine gel 2% (n= 60) and Group-Y throat pack with Normal Saline (n= 60). Sore throat score was assessed at 12 hour and 24 hours postoperatively and compared between the two groups. Quantitative variables were calculated as Mean and standard deviation, while frequency and percentages were shown for categorical variables. Independent samples t- test was used to compare means and Chi square test was utilized for qualitative variables. The value of ‘p’ less than or equal to 0.05 was considered statistically significant.

Results: The mean sore throat score in Group-X and Group-Y were at 12 hours, 0.63 ± 1.05 cm and 4.45 ±2.51 cm (p Value < 0.05) postoperatively respectively. Similarly mean sore throat score in Group-X and Group-Y were at 24 hours, 0.80 ± 0.91 cm and 6.05±2.43 cm post-operatively (p value < 0.05). In Group-X, 07 (11.7%) patients developed hoarseness and in Group-Y, hoarseness developed in 16(26.7%) patients respectively.

Conclusion: The patients managed with oropharyngeal packing mix with 2 % Lignocaine gel developed less sore throat following surgeries and ultimately reduced perioperative morbidity.

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