Perbandingan Antara Penggunaan Lidokain Spray 10% pada Palatum Mole, Faring Posterior, Pilar Tonsil, Hipofaring dan Pipa Endotrakeal terhadap Hemodinamik dan Nyeri Tenggorokan Pasca Intubasi Pasien Anestesi Umum di RSUP Haji Adam Malik Medan

Abstract

Background Intubation causes various side effects such as pain and parasympathetic stimulation, hemodynamic changes, increased intracranial pressure and increased risk of intracranial hemorrhage. Topical lidocaine has been applied for decades via intratracheal spray, oxygen atomization, intracuff filling, or gel lubrication due to its simple operation advantages. Topical lidocaine is one of the drugs of choice to prevent post-intubation sore throat by decreasing the permeability of nerve membrane cells to sodium ions. Method The design of this study used a single-blind randomized clinical trial with 17 research subjects for each group. Group A was given xylocaine spray on the endotracheal tube and 17 subjects belonging to group B were given xylocaine spray on the soft palate, hypopharynx, and tonsil pillars. Research Results MAP in this study in group A was found to be 91.11 + 6.55 and in group B 91.11 + 6.55, for POST scores in group A 0.51 + 0.26 and for group B 1.21 + 0.13. Conclusion There is a difference between the use of 10% lidocaine spray on the soft palate, posterior pharynx, tonsillar pillars, hypopharynx and endotracheal tube on hemodynamics and the incidence of sore throat after endotracheal intubation in elective patients with general anesthesia at Haji Adam Malik General Hospital, Medan.