Correlation between extraction force during tracheal intubation stylet removal and postoperative sore throat.

Abstract:

STUDY OBJECTIVE:To examine postoperative sore throat resulting from tracheal intubation stylet removal. DESIGN:Prospective cohort study. SETTING:Operating rooms and hospital ward. PATIENTS:A total of 50 American Society of Anesthesiologists physical status 1 and 2 patients who underwent elective abdominal and/or orthopedic surgery under general anesthesia. INTERVENTIONS:Patients were allocated to 2 groups: those who developed sore throat postoperatively (ST group) and those who did not (NST group). Comparative analysis of these 2 groups was performed to identify risk factors of the development of sore throat. MEASUREMENTS:The extraction force during stylet removal was measured using a force measuring device. Postoperative sore throat was assessed by an anesthesiologist. MAIN RESULTS:Nine patients (18%) complained of postoperative sore throat. Increased extraction force (P=.0054; odds ratio, 1.84; 95% confidence interval, 1.20-2.84) was the only significant risk factor for the development of postoperative sore throat. An extraction force of >10.3N was determined as a cutoff for developing postoperative sore throat. CONCLUSION:Postoperative sore throat was significantly related to increased extraction force during stylet removal.

journal_name

J Clin Anesth

authors

Kusunoki T,Sawai T,Komasawa N,Shimoyama Y,Minami T

doi

10.1016/j.jclinane.2015.12.024

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

37-40

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(16)00045-3

journal_volume

33

pub_type

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