Comparison of Preoperative Ketamine Nebulization versus Saline Nebulization in    Decreasing the frequency and Severity of Postoperative Sore Throat

Authors

  • Muhammad Zeeshan Akbar Department of Anesthesia, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
  • Naveed Farhat Department of Anesthesia, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
  • Abdul Hameed Bhatti Department of Anesthesia, Pakistan Air Force Hospital, Islamabad Pakistan
  • Kenan Anwar Khan Department of Anesthesia, Pakistan Navy Ship Shifa Hospital, Karachi Pakistan
  • Abdul Raafeh Jamal Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Muzzamil Saleem Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i4.9296

Keywords:

Ketamine, Nebulization, Pharyngitis, Sore throat

Abstract

Objective: To compare preoperative Ketamine nebulization versus saline nebulization in reducing the frequency and severity of sore throat postoperatively.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Bahawalpur Pakistan, from Jan to Jun 2022.

Methodology: A total of 120 patients (60 in each group) with different surgeries filling the inclusion criteria were considered in the study. Adult patients of 20-60 years with ASA class 1-2 who were planned for elective surgery of less than 2 hours were included. Group-A patients underwent nebulization with Ketamine while in Group-B nebulization was done with normal saline.

Results: A total of patients included were 120 (60 each group).  Twenty-eight (23.3%) patients developed Post-Operative Sore Throat at some time after extubation. The frequency of Post-Operative Sore Throat with Ketamine was 13.3% and with saline it was 33.3%. Twenty (71.42%) patients of Post-Operative Sore Throat developed sore throat at 2 hours after extubation, of which 15 patients belong to Saline Group (p-value 0.01). Twenty-one patients of Post-Operative Sore Throat had mild sore throat of which 14 patients were of Saline Group (p-value 0.006).

Conclusion: Ketamine nebulization postoperatively leads to reduced frequency and severity of Post-Operative Sore Throat in early post-operative period in patients in which endotracheal intubation was done for GA. 

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References

Charan SD, Khilji MY, Jain R, Devra V, Saxena M. Inhalation of ketamine in different doses to decrease the severity of postoperative sore throat in surgeries under general anesthesia patients. Anesth Essays Res 2018; 12(3): 625-629.

https://doi.org/10.4103/aer.AER_65_18

Segaran S, Bacthavasalame AT, Venkatesh RR, Zachariah M, George SK, Kandasamy R, et al. Comparison of nebulized ketamine with nebulized magnesium sulfate on the incidence of postoperative sore throat. Anesth Essays Res 2018; 12(4): 885-890.

https://doi.org/10.4103/aer.AER_148_18

Prasant NV, Mohapatro S, Jena J, Moda N. Comparison of preoperative nebulization with 4% lignocaine and ketamine in reduction of incidence of postoperative sore throat. Anesth Essays Res 2021; 15(3): 316-320.

https://doi.org/10.4103/aer.aer_105_21

Yadav M, Gopinath R. Comparison of the effect of ketamine, tramadol, 1.5% saline and normal saline gargle on post-operative sore throat after endotracheal intubation. Indian J Anesth Analg 2018; 5: 579-585.

http://dx.doi.org/10.21088/ijaa.2349.8471.5418.12

Jain S, Barasker SK. A comparative study of preoperative ketamine and MgSO4 nebulisation for incidence of post operative sore throat after endotracheal intubation. Int J Contemp Med Res 2017; 4(6): 1356-1359.

https://doi.org/10.21275/sr23228131538

Mostafa EA, Abdel AS, Mahmoud MD. Magnesium sulfate nebulizer versus ketamine nebulizer in decreasing incidence and severity of post operative sore throat with endotracheal intubation in adults. Egypt J Hosp Med 2018; 73(8): 7244-7250.

https://dx.doi.org/10.21608/ejhm.2018.18262

Medeiros P, Negrini-Ferrari SE, Palazzo E, Maione S, Ferreira SH, de Freitas RL, et al. N-methyl-d-aspartate receptors in the prelimbic cortex are critical for the maintenance of neuropathic pain. Neurochem. Res 2019; 44(9): 2068-2080.

https://doi.org/10.1007/s11064-019-02843-z

Brindha R, Naveena P, Chiraag S, Senthilkumar M, Gaur A, Shankar R. Effect of magnesium sulphate nebulization on the incidence of post-operative sore throat. Int J Med Anesth 2020;

(4): 23-26. https://doi.org/10.33545/26643766.2020.v3.i4a.161

Pathak B, Panchal N, Mevcha Sr, Chaudhari M. Redefining the Role of Ketamine for Topicalisation and its Comparison with the Legend Lignocaine for Oesophagogastroduodenoscopies -A Randomised Clinical Study. J Clin Diagnostic Res 2022; 16(7).

https://doi.org/ 10.7860/JCDR/2022/55049.16671

Thomas D, Bejoy R, Zabrin N, Beevi S. Preoperative ketamine nebulization attenuates the incidence and severity of postoperative sore throat: A randomized controlled clinical trial. Saudi J Anaesth 2018; 12(3): 440-445.

https//:doi.org/10.4103/sja.SJA_47_18

Kuriyama A, Maeda H, Sun R, Aga M. Topical application of corticosteroids to tracheal tubes to prevent postoperative sore throat in adults undergoing tracheal intubation: a systematic review and meta‐analysis. Anaesthesia 2018; 73(12): 1546-1556.

https://doi.org/10.1111/anae.14273

Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: 2018. World J Surg 2019; 43(3): 659-695.

https://doi.org/10.1007/s00268-018-4844-y

Hari KS, Saravanan D, Ranganathan. Post-operative sore throat-incidence and contributory factors. J Pharm Biomed Sci 2013; 26: 286–292.

Jaensson M, Olowsson LL, Nilsson U. Endotracheal tube size and sore throat following surgery: A randomized-controlled study. Acta Anaesthesiol Scand 2010; 54: 147–153.

https://doi.org/10.1111/j.1399-6576.2009.02166.x

Şentürk M, El Tahan MR, Szegedi LL, Marczin N, Karzai W, Shelley B, et al. Thoracic anesthesia of patients with suspected or confirmed 2019 novel coronavirus infection: preliminary recommendations for airway management by the European Association of Cardiothoracic Anaesthesiology Thoracic Subspecialty Committee. J Cardiothorac Vasc Anesth 2020;

(9): 2315-2327.

https://doi.org/10.1053/j.jvca.2020.03.059

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Published

30-08-2024

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Original Articles

How to Cite

1.
Muhammad Zeeshan Akbar, Naveed Farhat, Abdul Hameed Bhatti, Kenan Anwar Khan, Abdul Raafeh Jamal, Muhammad Muzzamil Saleem. Comparison of Preoperative Ketamine Nebulization versus Saline Nebulization in    Decreasing the frequency and Severity of Postoperative Sore Throat. Pak Armed Forces Med J [Internet]. 2024 Aug. 30 [cited 2024 Oct. 6];74(4):1019-23. Available from: https://pafmj.org/PAFMJ/article/view/9296