Comparison of Nasal Packing versus Septal Stitich on Airway Complications during Recovery from Anesthesia

Muhammad Asif Hayat; Ghulam Sabirdr; Saddam Hussain; Afzal Shabbir; Taffazul Mehdi; Rashid Iqbal

doi:10.51253/pafmj.v75iSUPPL-2.12160

Authors

Muhammad Asif Hayat Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Ghulam Sabirdr Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Saddam Hussain Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Afzal Shabbir Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Taffazul Mehdi Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Rashid Iqbal Department of Pain Medicine, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-2.12160

Keywords:

Airway, Anesthesia, Complications, Nasal Packing, Septal, Stitch

Abstract

Objective: To compare the incidence of airway related complications associated with nasal packing versus septal stitch in the post-operative period in patients presenting for elective septoplasty for deviated nasal septum (DNS).

Study Design: Randomized controlled trial (Iranian registery of Clinical trials: 75068)

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

Methodology: Septoplasty was done under general anesthesia in both groups and before extubation, Group-N (n=110) received bilateral Vaseline soaked nasal packing and Group-S received quilted septal sutures (n=110). Primary variables studied were mean time from recovery room to discharge, mean dose of analgesia used post-procedure and pre-discharge, incidence of laryngospasm, hypoxia, bleeding, and headache in 6 hours in the immediate post-operative period in the pre-anesthesia care unit or in the ward.

Results: Mean time from recovery to discharge being 19.19±2.24 hours in Group-N versus 12.32±1.36 hours in Group-S (p<0.001). Median pain scores post-procedure once fully awake from anesthesia were 6.00 (1.00) in Group-N and 4.00 (1.00) in Group-S on the Visual Analog Scale (p<0.001). Mean dose of analgesia required for pain from shifting to recovery to discharge was 3.43±0.58 grams in Group-N versus 2.14±0.53 grams in Group-S (p<0.001).

Conclusion: We conclude that quilted septal stitch provides better pain scores, patient comfort and less incidence of respiratory complications post-septoplasty.

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