| dc.description.abstract | Background, Sorethroat is a common complication in patients with general
anesthesia using endotracheal intubation is difficult to control despite surgical pain
well controlled with systemic analgesia. Sorethroat after surgery is a painful
inflammation that causes discomfort, pain, or itching in the throat and can cause
pain swallowing. Factors that triggered the sore throat after surgery include trauma
laringoscopy, cuff pressure and irritation by the endotracheal tube. The purpose of
this study was to obtain more effective drugs to prevent sore throat after
endotracheal intubation in general anesthesia.
Method, The study is randomized, double‐blind clinical trials,. After receiving
approval from the ethics committee FK USU Medan, collected as many as 72
samples of the study, men and women, aged 16‐65 years, ASA physical status 1‐2
who underwent elective surgery with general anesthesia endotracheal intubation.
The samples were divided into two randomized groups of 35 subjects each for
group A and 37 subjects for group B. Group A uses Dexamethason 0.2 mg / kg IV
and group B using Lidocaine 1.5 mg / kg IV. Then monitored the incidence and
severity of sore throats in the first hour, hour of the 6th and 12th hours after
surgery. Data from the study were tested by t‐test, and Chi‐square test, correlation
test was tested with Spearman's correlation.
Results, The incidence of sore throats in the first hour in group A, sorethroat no
pain swallowing 11.4%, sorethroat with pain swallowing 5.7%. Group B,
sorethroat no pain swallowing 18.9%, sorethroat with pain swallowing 5.4%. With
Chi‐Square analysis of the results obtained p = 0338, mean there is no significant
difference in the incidence and severity of sore throat between the two groups. The
incidence of sore throat in the 6th hour in group A, sorethroat no pain swallowing
2.9%, sorethroat with pain swallowing 11.4%. Group B, sorethroat no pain
swallowing 18.9% sorethroat with pain swallowing 8.4%. With Chi‐Square analysis
of the results obtained p = 0047, mean there are significant differences in the incidence and severity of sore throat between the two groups. The incidence of
sore throat at the 12nd hour in group A, sorethroat no pain swallowing 8.6%,
sorethroat with pain swallowing 11.4%. Group B, sorethroat no pain swallowing
18.9% sorethroat with pain swallowing 5.4%. With Chi‐Square analysis of the
results obtained p = 0166, mean there is no significant difference in the incidence
and severity of sore throat between the two groups. Generally, the incidence of
sore throat in group A 31.4 %, in group B 35.1 %
Conclusion, There was no difference in effectiveness between Dexamethason 0,2
mg/kg IV with Lidokain 1,5 mg/kg IV in term of preventing sore throat after endo
tracheal intubation in general anesthesia | en_US |
