A Comparison of Laryngospasm in "No Touch" and "Head Down Deep Extubation": A Randomized Clinical Trials
Background: Tonsillectomy and adenotonsillectomy are simple surgical procedures that can cause laryngospasm as complications which blocks airflow causing serious issues. The laryngospasm incidence decreases in patients undergoing deep extubation. Present study aimed to compare laryngospasm in innov...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2023-07-01
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| Series: | Archives of Anesthesia and Critical Care |
| Subjects: | |
| Online Access: | https://aacc.tums.ac.ir/index.php/aacc/article/view/644 |
| _version_ | 1797630541704462336 |
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| author | Niyoosha Yoosefi Fatemeh Hajimohammadi Arash Jafarieh Hamed Abdollahi Afshar Etemadi Ale Agha Mehrdad Behzadi Nader Ali Nazemian Mina Abdolahi Mohammad Gholizadeh Abolghasem Yousefi |
| author_facet | Niyoosha Yoosefi Fatemeh Hajimohammadi Arash Jafarieh Hamed Abdollahi Afshar Etemadi Ale Agha Mehrdad Behzadi Nader Ali Nazemian Mina Abdolahi Mohammad Gholizadeh Abolghasem Yousefi |
| author_sort | Niyoosha Yoosefi |
| collection | DOAJ |
| description |
Background: Tonsillectomy and adenotonsillectomy are simple surgical procedures that can cause laryngospasm as complications which blocks airflow causing serious issues. The laryngospasm incidence decreases in patients undergoing deep extubation. Present study aimed to compare laryngospasm in innovative method of head down deep extubation with No Touch method.
Methods: Forty-two patients were enrolled in the study in (23 females and 19 males) between the ages of 5 up to 15 who were referred for tonsillectomy or adenotonsillectomy. The patients were divided into two randomized No Touch (n=21) and head down deep extubation (n=21) intervention groups according to permuted block randomization. All patients received standard general anesthesia. The first group received the no-touch extubation and the second group received head down deep extubation method. The duration of surgery, Time interval between the injection of reverse drugs and the return of spontaneous breathing (TRDRSB), time interval between anesthesia drug withdrawal and extubation (TIDWE), SPO2, incidence of laryngospasm, and cough were recorded and graded according to their severity at 0, 5, 10, 15 minutes and 2 hours after extubation, respectfully.
Results: The age, weight, gender and duration of surgery, TRDRSB was not statistically different between the two groups but TIDWE showed a significant difference between groups (P<0.001). The SPO2 levels in 0, 5, 10, 15 minutes, and 2 hours after surgery were not significantly different between the “no touch” and “head down deep extubation” groups as well as the severity of coughing and laryngospasm. However, the rate of laryngospasm and cough in "No touch" group was higher than " head down deep extubation " group.
Conclusion: HDDE is an innovative technique that it seems in comparison to No Touch method can reduce the incidence of laryngospasm. However, further comprehensive trials are needed to confirm these findings.
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| first_indexed | 2024-03-11T11:09:36Z |
| format | Article |
| id | doaj.art-9187dcbe781042ec9642c9cf37979181 |
| institution | Directory Open Access Journal |
| issn | 2423-5849 |
| language | English |
| last_indexed | 2024-03-11T11:09:36Z |
| publishDate | 2023-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Archives of Anesthesia and Critical Care |
| spelling | doaj.art-9187dcbe781042ec9642c9cf379791812023-11-12T06:52:28ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492023-07-019Supplement10.18502/aacc.v9i5.13956A Comparison of Laryngospasm in "No Touch" and "Head Down Deep Extubation": A Randomized Clinical TrialsNiyoosha Yoosefi0Fatemeh Hajimohammadi1Arash Jafarieh2Hamed Abdollahi3Afshar Etemadi Ale Agha4Mehrdad Behzadi5Nader Ali Nazemian6Mina Abdolahi7Mohammad Gholizadeh8Abolghasem Yousefi9Faculty of Medicine, University of British Columbia, Canada.Department of Anesthesiology, Amir-Alam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Amir-Alam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Amir-Alam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Amir-Alam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Amir-Alam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Amir-Alam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Clinical Nutrition, Amir-Alam Hospital Complexe, Tehran University of Medical Sciences, Tehran, Iran.Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Amir-Alam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Background: Tonsillectomy and adenotonsillectomy are simple surgical procedures that can cause laryngospasm as complications which blocks airflow causing serious issues. The laryngospasm incidence decreases in patients undergoing deep extubation. Present study aimed to compare laryngospasm in innovative method of head down deep extubation with No Touch method. Methods: Forty-two patients were enrolled in the study in (23 females and 19 males) between the ages of 5 up to 15 who were referred for tonsillectomy or adenotonsillectomy. The patients were divided into two randomized No Touch (n=21) and head down deep extubation (n=21) intervention groups according to permuted block randomization. All patients received standard general anesthesia. The first group received the no-touch extubation and the second group received head down deep extubation method. The duration of surgery, Time interval between the injection of reverse drugs and the return of spontaneous breathing (TRDRSB), time interval between anesthesia drug withdrawal and extubation (TIDWE), SPO2, incidence of laryngospasm, and cough were recorded and graded according to their severity at 0, 5, 10, 15 minutes and 2 hours after extubation, respectfully. Results: The age, weight, gender and duration of surgery, TRDRSB was not statistically different between the two groups but TIDWE showed a significant difference between groups (P<0.001). The SPO2 levels in 0, 5, 10, 15 minutes, and 2 hours after surgery were not significantly different between the “no touch” and “head down deep extubation” groups as well as the severity of coughing and laryngospasm. However, the rate of laryngospasm and cough in "No touch" group was higher than " head down deep extubation " group. Conclusion: HDDE is an innovative technique that it seems in comparison to No Touch method can reduce the incidence of laryngospasm. However, further comprehensive trials are needed to confirm these findings. https://aacc.tums.ac.ir/index.php/aacc/article/view/644LaryngospasmIncidenceNo TouchHead Down Deep ExtubationTonsillectomyAdenotonsillectomy |
| spellingShingle | Niyoosha Yoosefi Fatemeh Hajimohammadi Arash Jafarieh Hamed Abdollahi Afshar Etemadi Ale Agha Mehrdad Behzadi Nader Ali Nazemian Mina Abdolahi Mohammad Gholizadeh Abolghasem Yousefi A Comparison of Laryngospasm in "No Touch" and "Head Down Deep Extubation": A Randomized Clinical Trials Archives of Anesthesia and Critical Care Laryngospasm Incidence No Touch Head Down Deep Extubation Tonsillectomy Adenotonsillectomy |
| title | A Comparison of Laryngospasm in "No Touch" and "Head Down Deep Extubation": A Randomized Clinical Trials |
| title_full | A Comparison of Laryngospasm in "No Touch" and "Head Down Deep Extubation": A Randomized Clinical Trials |
| title_fullStr | A Comparison of Laryngospasm in "No Touch" and "Head Down Deep Extubation": A Randomized Clinical Trials |
| title_full_unstemmed | A Comparison of Laryngospasm in "No Touch" and "Head Down Deep Extubation": A Randomized Clinical Trials |
| title_short | A Comparison of Laryngospasm in "No Touch" and "Head Down Deep Extubation": A Randomized Clinical Trials |
| title_sort | comparison of laryngospasm in no touch and head down deep extubation a randomized clinical trials |
| topic | Laryngospasm Incidence No Touch Head Down Deep Extubation Tonsillectomy Adenotonsillectomy |
| url | https://aacc.tums.ac.ir/index.php/aacc/article/view/644 |
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