| Summary: | Sore throat is a complication which frequently happened in postoperative
patients under general anesthesia with endotracheal intubation. Laryngeal Mask
Anesthesia (LMA) becoming an alternative device in order to diminish
postoperative sore throat incidency under general anesthesia. LMA is generally
inserted without the administration of muscle relaxant, but LMA insertion would
need anesthesia state which deep enough. Propofol has the benefit to press down
the upper airway reflex and served as fine general anesthesia induction to
facilitate LMA insertion. Incidence of sore throat still remains high in LMA
application inducted with Propofol agent. Hopefully, Propofol induction followed
by muscle relaxant administration would enhance propofol�s relaxation effect thus
could reduce trauma accompanying LMA insertion. LMA application which
inducted either with Propofol and muscle relaxant could be as sublime choice as
an alternative way to reduce the incidence of post operative sore throat. This
research purposed on comparing post operative Propofol induced sore throat after
the LMA Proseal insertion with or without administration of muscle relaxant.
Double Blind Randomized Controlled Trial research design has been used
with the study subjects of 120 male and female patients, 18-50 years, ASA I and
II, whose underwent general anesthesia with LMA elective surgeries with the
exclusion of head and neck surgeries. The study subjects have been divided into
two groups with group A (60 patients) belonged to propofol and atracurium while
group B (60 patients) belonged to propofol without atracurium. Sore throat
incidence measurement has been done after patients were fully awakened and on
24 hours post operative.
The research resulted on there were significant differences (p<0.05) in
both studied groups toward sore throat after the patient fully-awake and 24 hours
after the operative. After the patient fully-awake on Group A, there were 3
patients (5,1%) who experienced sore throat, whilst for Group B there were 10
patients (18,2%). There were 4 patients (6,7%) in group B who experienced sore
throat on 24 hours post operative, but none in group A. LMA benificial
comprising easier and faster insertion, so the sore throat incidence could
deductible.
Conclusion: there was lower incidence of sore throat after the inserstion of
Porseal LMA in the propofol induction with muscle relaxant than that in the
propofol induction without muscle relaxant after fully awake and 24 hours post
operative.
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