Search In this Thesis
   Search In this Thesis  
العنوان
Study of Effects of Soaking Oro-Pharyngeal Pack with Triamcinolone Acetonide in Ora-Base form on Postoperative Throat Discomfort in Patients undergoing Functional Endoscopic Sinus Surgeries /
المؤلف
Fahmy, Nouran Mohsen Ahmed.
هيئة الاعداد
باحث / نوران محسن احمد فهمي
مشرف / شريف سيد علي سلطان
مشرف / داليا فهمى إمام
مشرف / محمد ابراهيم حسن
تاريخ النشر
2019.
عدد الصفحات
77 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - التخدير والعناية المركزة وعلاج الآلام
الفهرس
Only 14 pages are availabe for public view

Abstract

Although postoperative sore throat is considered to be a relatively minor complication following general anesthesia, however its avoidance is of great importance for achievement of patient satisfaction and to reduce the burden on the health care resources by avoiding prolonged hospital stay. In the daycare cases and after intubation in general anesthesia POST is the most frequent cause of delayed discharge and discomfort. It causes unplanned revisit and subsequently delayed return to work.
There are multiple factors that may contribute in development of POST after general anesthesia, that include instrumentation of the airway, the type of airway device being used, age, gender, and duration of anesthesia.
The use of pharyngeal packs is of routine usage in nasal and paranasal sinus procedures. Those pharyngeal packs are used with different aims as they prevent the aspiration of cartilage and bony debris as well as the ingestion of blood products during these procedures. However pharyngeal packs can cause increase in postoperative throat complications and cause aphthous stomatitis.
So, in this prospective, interventional double – blinded, randomized, controlled trial we studied the effect of adding triamcinolone acetonide to oro-pharyngeal packs on decreasing the postoperative throat discomfort.
Postoperative sore throat, hoarseness of voice, dysphagia, nausea and vomiting in the patients were studied in our study as complications of use of oral packs in both control and patients’ group.
The use of oral packs with added triamcinolone acetonide in our study showed decrease in POSTin all times post-operatively with statistically significance in the period of 2 to 6 hours postoperative, whereas 30 mins and 24 hours post-operatively POST declines progressively to the degree that it is difficult to elicit the effect of the study drugs except if we have a bigger sample size.
The use of oral packs with triamcinolone acetonide showed lower proportion of patients who developed dysphagia and hoarseness of voice compared to control group but statistically insgnificant, while none of the studied patients showed postoperative nausea and vomiting as complication of use of oral packs