Gargled ketamine versus magnesium for prevention of postoperative sore throat: a randomized clinical trial
Background: Sore throat after surgery is the second most common cause of complications in recovery. It causes decreased patient satisfaction, and it affects patients’ well-being after surgery. The aim of this study was to compare the effects of ketamine and magnesium sulfate gargle on sore throat af...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2023-05-01
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| Series: | Tehran University Medical Journal |
| Subjects: | |
| Online Access: | http://tumj.tums.ac.ir/article-1-12371-en.pdf |
| _version_ | 1797688844016943104 |
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| author | Zahra Azizi Farsani Mehrdad Faizi Arash Tafrisinejad Mona Khoramjouy Hamidreza Azizi Farsani |
| author_facet | Zahra Azizi Farsani Mehrdad Faizi Arash Tafrisinejad Mona Khoramjouy Hamidreza Azizi Farsani |
| author_sort | Zahra Azizi Farsani |
| collection | DOAJ |
| description | Background: Sore throat after surgery is the second most common cause of complications in recovery. It causes decreased patient satisfaction, and it affects patients’ well-being after surgery. The aim of this study was to compare the effects of ketamine and magnesium sulfate gargle on sore throat after laminectomy.
Methods: In this randomized clinical trial, 69 candidates for laminectomy patients in Shohade-Tajrish hospital from June 2021 to December 2022 were randomly assigned to three groups of ketamine (n=25), magnesium (n=23) and control (n=21). The Magnesium group received magnesium sulfate gargle (30 mg/kg in a total of 30 ml 5% Dextrose water), Ketamine gargle (0.5 mg/kg in a total of 30 ml 5% Dextrose water), and the control group received 30 ml 5% Dextrose water gargle. Standard similar anesthesia protocols were applied for all patients. In PACU (0) and 2, 4, 24 hours afterward sore throat was assessed using a visual analog scale (VAS) scoring.
Results: The study showed that the incidence of sore throat in the magnesium group was lower than ketamine. Comparison of the three groups at the time of recovery (0), 2, 4, and 24 hours after surgery showed that the differences between the three groups were significant in terms of sore throat. Also, the difference in the incidence of sore throat within each group in the four times in all three groups was statistically significant (P=0.001). There was no statistically significant difference between age, gender, body mass index, heart rate, blood pressure, duration of intubation, duration of surgery and anesthesia, size of laryngoscopy insertion and Cormack and Lehane score in the three studied groups. A drop in systolic blood pressure was observed in the both groups half an hour after the operation, which was statistically significant. Changes in diastolic blood pressure were significant only in the magnesium group.
Conclusion: The preventive effect of "magnesium sulfate gargle" on sore throat after laminectomy is much better than "ketamine" or "placebo" gargle. |
| first_indexed | 2024-03-12T01:37:29Z |
| format | Article |
| id | doaj.art-b4c76b7868134f2aa5eff4a661066f6e |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-03-12T01:37:29Z |
| publishDate | 2023-05-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-b4c76b7868134f2aa5eff4a661066f6e2023-09-11T05:24:42ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222023-05-01812134140Gargled ketamine versus magnesium for prevention of postoperative sore throat: a randomized clinical trialZahra Azizi Farsani0Mehrdad Faizi1Arash Tafrisinejad2Mona Khoramjouy3Hamidreza Azizi Farsani4 Department of Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Phytochemistry Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Background: Sore throat after surgery is the second most common cause of complications in recovery. It causes decreased patient satisfaction, and it affects patients’ well-being after surgery. The aim of this study was to compare the effects of ketamine and magnesium sulfate gargle on sore throat after laminectomy. Methods: In this randomized clinical trial, 69 candidates for laminectomy patients in Shohade-Tajrish hospital from June 2021 to December 2022 were randomly assigned to three groups of ketamine (n=25), magnesium (n=23) and control (n=21). The Magnesium group received magnesium sulfate gargle (30 mg/kg in a total of 30 ml 5% Dextrose water), Ketamine gargle (0.5 mg/kg in a total of 30 ml 5% Dextrose water), and the control group received 30 ml 5% Dextrose water gargle. Standard similar anesthesia protocols were applied for all patients. In PACU (0) and 2, 4, 24 hours afterward sore throat was assessed using a visual analog scale (VAS) scoring. Results: The study showed that the incidence of sore throat in the magnesium group was lower than ketamine. Comparison of the three groups at the time of recovery (0), 2, 4, and 24 hours after surgery showed that the differences between the three groups were significant in terms of sore throat. Also, the difference in the incidence of sore throat within each group in the four times in all three groups was statistically significant (P=0.001). There was no statistically significant difference between age, gender, body mass index, heart rate, blood pressure, duration of intubation, duration of surgery and anesthesia, size of laryngoscopy insertion and Cormack and Lehane score in the three studied groups. A drop in systolic blood pressure was observed in the both groups half an hour after the operation, which was statistically significant. Changes in diastolic blood pressure were significant only in the magnesium group. Conclusion: The preventive effect of "magnesium sulfate gargle" on sore throat after laminectomy is much better than "ketamine" or "placebo" gargle.http://tumj.tums.ac.ir/article-1-12371-en.pdfketaminemagnesium sulfateprone positionsore throat. |
| spellingShingle | Zahra Azizi Farsani Mehrdad Faizi Arash Tafrisinejad Mona Khoramjouy Hamidreza Azizi Farsani Gargled ketamine versus magnesium for prevention of postoperative sore throat: a randomized clinical trial Tehran University Medical Journal ketamine magnesium sulfate prone position sore throat. |
| title | Gargled ketamine versus magnesium for prevention of
postoperative sore throat: a randomized clinical trial |
| title_full | Gargled ketamine versus magnesium for prevention of
postoperative sore throat: a randomized clinical trial |
| title_fullStr | Gargled ketamine versus magnesium for prevention of
postoperative sore throat: a randomized clinical trial |
| title_full_unstemmed | Gargled ketamine versus magnesium for prevention of
postoperative sore throat: a randomized clinical trial |
| title_short | Gargled ketamine versus magnesium for prevention of
postoperative sore throat: a randomized clinical trial |
| title_sort | gargled ketamine versus magnesium for prevention of postoperative sore throat a randomized clinical trial |
| topic | ketamine magnesium sulfate prone position sore throat. |
| url | http://tumj.tums.ac.ir/article-1-12371-en.pdf |
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