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Influence of two-handed jaw thrust during tracheal intubation on postoperative sore throat: a prospective randomised study

机译:双手颌骨推动在气管插管过程中的影响喉咙痛:预期随机研究

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Objective General anaesthesia with tracheal intubation results in sore throat. We evaluated the influence of the two-handed jaw thrust on postoperative sore throat in patients who require tracheal intubation. Methods In this prospective, double-blind, single-centre, parallel-arm, and randomised trial, 92 patients who were scheduled for general anaesthesia for total hip arthroplasty were allocated to one of two groups. In the jaw thrust group (n?=?46), the two-handed jaw thrust manoeuvre was applied at intubation. In the control group (n?=?46), conventional intubation with sham jaw thrust was performed. Incidences of airway morbidities including sore throat, hoarseness, and cough at 2, 4, and 24 hours postoperatively were compared. Results During the postoperative 24 hours, the incidence of sore throat (8 [17%] vs. 20 [44%]) and hoarseness were lower in the jaw thrust group (8 [17%] vs. 18 [39%]) compared with the control group. The incidence of cough during the postoperative 24 hours was similar between the groups. Conclusions The jaw thrust manoeuvre significantly reduced sore throat and hoarseness in patients after general anaesthesia using tracheal intubation. Clinical trial registration: NCT 03568279.
机译:气管插管的客观普遍麻醉导致喉咙痛。我们评估了双手钳口推力在需要气管插管的患者术后喉咙痛的影响。在这一前瞻性,双盲,单中心,平行臂和随机试验中,92例针对总髋关节置换术定期安排的92名患者分配给两组中的一种。在颚式推力组(n?=Δ46)中,在插管时施用双手钳口推力操纵。在对照组(n?=α46)中,进行与假颌射箭的常规插管。在术后2,4和2,4小时的喉咙痛,嘶嘶声和咳嗽,包括喉咙痛,嘶嘶声和咳嗽,包括喉咙痛的发生率。结果在术后24小时内,颌骨喉部喉咙痛的发生率(8 [17%])和嘶哑较低(8 [17%] Vs.18 [39%])与对照组。在术后24小时内咳嗽的发生率在组之间相似。结论使用气管插管,颌喷头速度患者患者的喉咙痛和嘶哑性显着降低。临床试验登记:NCT 03568279。

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