How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded Study

Sore throat (POST) and hoarseness (PH) are common complaints after endotracheal intubation (EI). The aim of this study was to investigate whether tube size impacts the experiences of POST and PH after EI in patients undergoing elective surgery, as well as to document a possible role of gender. This...

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Main Authors: Pia Christiansen, Caroline Hornnes Pedersen, Hansjörg Selter, Lillian Odder, Jette Præstholm Riisager, Kjeld Damgaard, Signe Westmark, Niels Henrik Bruun, Dorte Melgaard
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/24/5846
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author Pia Christiansen
Caroline Hornnes Pedersen
Hansjörg Selter
Lillian Odder
Jette Præstholm Riisager
Kjeld Damgaard
Signe Westmark
Niels Henrik Bruun
Dorte Melgaard
author_facet Pia Christiansen
Caroline Hornnes Pedersen
Hansjörg Selter
Lillian Odder
Jette Præstholm Riisager
Kjeld Damgaard
Signe Westmark
Niels Henrik Bruun
Dorte Melgaard
author_sort Pia Christiansen
collection DOAJ
description Sore throat (POST) and hoarseness (PH) are common complaints after endotracheal intubation (EI). The aim of this study was to investigate whether tube size impacts the experiences of POST and PH after EI in patients undergoing elective surgery, as well as to document a possible role of gender. This randomised, controlled, blinded study was conducted at Aalborg University Hospital, Thisted, Denmark or North Denmark Regional Hospital, Denmark. A total of 236 patients (53.4% female, mean age 50.9 years (SD 14.0)) were enrolled from the departments of gynaecology, parenchyma and orthopaedics. The patients were randomised to a tube size of 8.0 or 7.0 for males and 7.0 or 6.0 for females. Tube sizes were known to the anaesthesia staff but blinded for patients, researchers and staff at the postoperative care unit. POST and/or PH was reported 30–60 min before anaesthesia, at 30 min and at 2, 5, 12, 24, 48, 72 and 96 h after anaesthesia. Both female and male patients experienced significantly lower levels of POST and PH after intubation with the smallest tube size. This study demonstrates that a smaller size of tube results in a reduction in POST and PH after EI for both male and female patients.
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spelling doaj.art-a453529e11804fc08d3756250cc5573c2023-11-23T08:57:05ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-011024584610.3390/jcm10245846How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded StudyPia Christiansen0Caroline Hornnes Pedersen1Hansjörg Selter2Lillian Odder3Jette Præstholm Riisager4Kjeld Damgaard5Signe Westmark6Niels Henrik Bruun7Dorte Melgaard8Clinic of Anaesthesia, Aalborg University Hospital, 7700 Thisted, DenmarkClinic of Anaesthesia, North Denmark Regional Hospital, 9800 Hjoerring, DenmarkClinic of Anaesthesia, Aalborg University Hospital, 7700 Thisted, DenmarkClinic of Anaesthesia, Aalborg University Hospital, 7700 Thisted, DenmarkClinic of Anaesthesia, North Denmark Regional Hospital, 9800 Hjoerring, DenmarkClinic of Anaesthesia, North Denmark Regional Hospital, 9800 Hjoerring, DenmarkCentre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, DenmarkUnit of Clinical Biostatistics and Epidemiology, Aalborg University Hospital, 9000 Aalborg, DenmarkDepartment of Clinical Medicine, Aalborg University, 9000 Aalborg, DenmarkSore throat (POST) and hoarseness (PH) are common complaints after endotracheal intubation (EI). The aim of this study was to investigate whether tube size impacts the experiences of POST and PH after EI in patients undergoing elective surgery, as well as to document a possible role of gender. This randomised, controlled, blinded study was conducted at Aalborg University Hospital, Thisted, Denmark or North Denmark Regional Hospital, Denmark. A total of 236 patients (53.4% female, mean age 50.9 years (SD 14.0)) were enrolled from the departments of gynaecology, parenchyma and orthopaedics. The patients were randomised to a tube size of 8.0 or 7.0 for males and 7.0 or 6.0 for females. Tube sizes were known to the anaesthesia staff but blinded for patients, researchers and staff at the postoperative care unit. POST and/or PH was reported 30–60 min before anaesthesia, at 30 min and at 2, 5, 12, 24, 48, 72 and 96 h after anaesthesia. Both female and male patients experienced significantly lower levels of POST and PH after intubation with the smallest tube size. This study demonstrates that a smaller size of tube results in a reduction in POST and PH after EI for both male and female patients.https://www.mdpi.com/2077-0383/10/24/5846endotracheal intubationupper airway anatomypostoperative sore throatpostoperative painpatient care
spellingShingle Pia Christiansen
Caroline Hornnes Pedersen
Hansjörg Selter
Lillian Odder
Jette Præstholm Riisager
Kjeld Damgaard
Signe Westmark
Niels Henrik Bruun
Dorte Melgaard
How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded Study
Journal of Clinical Medicine
endotracheal intubation
upper airway anatomy
postoperative sore throat
postoperative pain
patient care
title How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded Study
title_full How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded Study
title_fullStr How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded Study
title_full_unstemmed How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded Study
title_short How Does Tube Size Affect Patients’ Experiences of Postoperative Sore Throat and Hoarseness? A Randomised Controlled Blinded Study
title_sort how does tube size affect patients experiences of postoperative sore throat and hoarseness a randomised controlled blinded study
topic endotracheal intubation
upper airway anatomy
postoperative sore throat
postoperative pain
patient care
url https://www.mdpi.com/2077-0383/10/24/5846
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