تأثیر مکیدن آب‌نبات اکالیپتوس بر شدت سرفه و خشونت صدا به دنبال لوله‌گذاری تراشه در بیهوشی اعمال جراحی ارتوپدی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه پرستاری داخلی جراحی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

2 استادیار، گروه بیهوشی و مراقبت‌های ویژه، دانشکده‌ی پزشکی و بیمارستان امام حسین (ع)، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

3 مربی، گروه اپیدمیولوژی و آمار زیستی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی تهران، ایران

4 مربی، گروه پرستاری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار و دانشجوی دکتری تخصصی آینده پژوهی، دانشکده‌ی علوم اجتماعی، دانشگاه بین‌المللی امام خمینی، قزوین، ایران

چکیده

مقدمه: سرفه و خشونت صدا، از عوارض شایعی است که به دنبال لوله‌گذاری داخل تراشه و التهاب حلق، حنجره و تراشه رخ می‌دهد. آب‌نبات اکالیپتوس برای درمان بسیاری از علایم سرماخوردگی استفاده می‌شود. از این رو، هدف از انجام این مطالعه، تعیین تأثیر آب‌نبات اکالیپتوس بر سرفه و خشونت صدا بعد از خارج‌سازی لوله‌ی تراشه در بیماران تحت اعمال جراحی ارتوپدی بود.روش‌ها: در این مطالعه‌ی کارآزمایی بالینی، تعداد 134 بیمار کاندیدای عمل جراحی ارتوپدی با روش نمونه‌گیری در دسترس به دو گروه شاهد و مورد (67 نفر در هر گروه) به روش تخصیص تصادفی تقسیم شدند. 30 دقیقه قبل از شروع عمل جراحی و به فاصله‌ی هر 6 ساعت پس از عمل جراحی، به بیماران گروه مورد پس از اخذ رضایت‌نامه، آب‌نبات سرد اکالیپتوس داده شد. ارزیابی سرفه و خشونت صدا پس از عمل جراحی با استفاده از چک لیست‌های سرفه و خشونت صدا در زمان‌های 2، 6، 12 و 24 ساعت بعد از لوله‌گذاری از بیمار سؤال شد. داده‌ها با استفاده از روش‌های آماری توصیفی و آزمون‌های Fisher's exact، 2χ، t و Generalized estimating equation (GEE) با استفاده از نرم‌افزار آماری SPSS تجزیه و تحلیل گردید. 050/0 > P به عنوان سطح معنی‌داری در نظر گرفته شد.یافته‌ها: بروز سرفه (004/0 = P) و خشونت صدا (001/0 > P) در طول زمان به طور معنی‌داری در گروه مورد نسبت به گروه شاهد کاهش یافت.نتیجه‌گیری: استفاده از آب‌نبات اکالیپتوس در کاهش سرفه و خشونت صدای ناشی از لوله‌گذاری تراشه در بیماران تحت اعمال جراحی ارتوپدی مؤثر است.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Sucking Eucalyptus Lozenges on the Severity of Postoperative Coughing and Hoarseness Following Endotracheal Intubation under General Anesthesia in Orthopedic Surgeries

نویسندگان [English]

  • Solmaz Nazmara 1
  • Javad Nourian 2
  • Yaser Tabarraie 3
  • Javad Ganjloo 4
1 MSc Student, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Iran
2 Assistant Professor, Department of Anesthesiology and Critical Care, School of Medicine AND Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
3 Instructor, Department of Biostatistics and Epidemiology, School of Public Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
4 Instructor, Department of Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar AND PhD Student of Futures Studies, School of Social Sciences, Imam Khomeini International University, Qazvin, Iran
چکیده [English]

Background: Postoperative coughing and hoarseness are two of the most common complications occur following endotracheal intubation and pharyngitis, laryngitis, and tracheitis. Eucalyptus lozenges are used in the treatment of many sign of common colds, such as cough, sore throat, etc. Therefore, the aim of this research was to study the effect of sucking Eucalyptus lozenges on coughing and hoarseness following endotracheal intubation in patients undergoing orthopedic surgery under general anesthesia.Methods: In this clinical trial study, 134 patients undergoing orthopedic surgery under general anesthesia were selected using convenience sampling method, and were allocated into two equal groups of control and intervention via random assignment method. Following obtaining informed consent, half an hour before surgery and in intervals of six hours after the surgery, eucalyptus lozenges were administered to intervention group. Postoperative coughing and hoarseness were measured 2, 6, 12, and 24 hours following endotracheal intubation using coughing and hoarseness checklists. Data were analyzed using descriptive statistics, Fisher's exact, chi-square, and t test, and generalized estimating equation (GEE) measures in SPSS software. P values of less than 0.05 were considered significant.Findings: The severity of coughing (P = 0.004) and hoarseness (P < 0.001) during the time were significantly less in the intervention group compared to the control group.Conclusion: Eucalyptus lozenges are effective in reducing coughing and hoarseness caused by endotracheal intubation in patients undergoing orthopedic surgery under general anesthesia.

کلیدواژه‌ها [English]

  • Eucalyptus
  • Cough
  • Hoarseness
  • Intubation
  • Endotracheal
  • Orthopedic surgery

مراجع

  1. Sumathi PA, Shenoy T, Ambareesha M, Krishna HM. Controlled comparison between betamethasone gel and lidocaine jelly applied over tracheal tube to reduce postoperative sore throat, cough, and hoarseness of voice. Br J Anaesth 2008; 100(2): 215-8.
  2. Wetzel LE, Ancona AL, Cooper AS, Kortman AJ, Loniewski GB, Lebeck LL. The effectiveness of 4% intracuff lidocaine in reducing coughing during emergence from general anesthesia in smokers undergoing procedures lasting less than 1.5 hours. AANA J 2008; 76(2): 105-8.
  3. Miller RD. Miller's anesthesia. Philadelphia, PA: Saunders; 2015.
  4. Minogue SC, Ralph J, Lampa MJ. Laryngotracheal topicalization with lidocaine before intubation decreases the incidence of coughing on emergence from general anesthesia. Anesth Analg 2004; 99(4): 1253-7.
  5. Estebe JP, Dollo G, Le Corre P, Le Naoures A, Chevanne F, Le Verge R, et al. Alkalinization of intracuff lidocaine improves endotracheal tube-induced emergence phenomena. Anesth Analg 2002; 94(1): 227-30, table.
  6. Estebe JP, Delahaye S, Le Corre P, Dollo G, Le Naoures A, Chevanne F, et al. Alkalinization of intra-cuff lidocaine and use of gel lubrication protect against tracheal tube-induced emergence phenomena. Br J Anaesth 2004; 92(3): 361-6.
  7. Estebe JP, Gentili M, Le Corre P, Dollo G, Chevanne F, Ecoffey C. Alkalinization of intracuff lidocaine: efficacy and safety. Anesth Analg 2005; 101(5): 1536-41.
  8. Tazeh-Kand NF, Eslami B, Mohammadian K. Inhaled fluticasone propionate reduces postoperative sore throat, cough, and hoarseness. Anesth Analg 2010; 111(4): 895-8.
  9. Maruyama K, Sakai H, Miyazawa H, Toda N, Iinuma Y, Mochizuki N, et al. Sore throat and hoarseness after total intravenous anaesthesia. Br J Anaesth 2004; 92(4): 541-3.
  10. Shimokojin T, Takenoshita M, Sakai T, Yoshikawa K. Vocal cordal bowing as a cause of long-lasting hoarseness after a few hours of tracheal intubation. Anesthesiology 1998; 89(3): 785-7.
  11. Fuller PB. The relationship between preintubation lidocaine and postanesthesia sore throat. AANA J 1992; 60(4): 374-8.
  12. Stout DM, Bishop MJ, Dwersteg JF, Cullen BF. Correlation of endotracheal tube size with sore throat and hoarseness following general anesthesia. Anesthesiology 1987; 67(3): 419-21.
  13. Mandoe H, Nikolajsen L, Lintrup U, Jepsen D, Molgaard J. Sore throat after endotracheal intubation. Anesth Analg 1992; 74(6): 897-900.
  14. Stanley TH. Effects of anesthetic gases on endotracheal tube cuff gas volumes. Anesth Analg 1974; 53(3): 480-2.
  15. Hirota W, Kobayashi W, Igarashi K, Yagihashi Y, Kimura H, Strupish J, et al. Lidocaine added to a tracheostomy tube cuff reduces tube discomfort. Can J Anaesth 2000; 47(5): 412-4.
  16. Blunt MC, Young PJ, Patil A, Haddock A. Gel lubrication of the tracheal tube cuff reduces pulmonary aspiration. Anesthesiology 2001; 95(2): 377-81.
  17. Al-Qahtani AS, Messahel FM. Quality improvement in anesthetic practice--incidence of sore throat after using small tracheal tube. Middle East J Anaesthesiol 2005; 18(1): 179-83.
  18. Karasawa F, Matsuoka N, Kodama M, Okuda T, Mori T, Kawatani Y. Repeated deflation of a gas-barrier cuff to stabilize cuff pressure during nitrous oxide anesthesia. Anesth Analg 2002; 95(1): 243-8, table.
  19. Bennett MH, Isert PR, Cumming RG. Postoperative sore throat and hoarseness following tracheal intubation using air or saline to inflate the cuff--a randomized controlled trial. Anaesth Intensive Care 2000; 28(4): 408-13.
  20. Soltani HA, Aghadavoudi O. The effect of different lidocaine application methods on postoperative cough and sore throat. J Clin Anesth 2002; 14(1): 15-8.
  21. Thomas S, Beevi S. Dexamethasone reduces the severity of postoperative sore throat. Can J Anaesth 2007; 54(11): 897-901.
  22. Tabari M, Soltani G, Zirak N, Alipour M, Khazaeni K. Comparison of effectiveness of betamethasone gel applied to the tracheal tube and IV dexamethasone on postoperative sore throat: A Randomized controlled trial. Iran J Otorhinolaryngol 2013; 25(73): 215-20.
  23. Rafiei MR, Arianpour N, Rezvani M, Ebrahimi A. Effects of intracuff dexamethasone on post-extubation reactions. J Res Med Sci 2012; 17(4): 338-43.
  24. Eydi M, Kolahdouzan K, Golzari SE. Effect of intravenous hydrocortisone on preventing postoperative sore throat followed by laryngeal mask airway use in patients undergoing urogenital surgeries. J Cardiovasc Thorac Res 2013; 5(1): 29-33.
  25. Hamzei A, Basiri Mogadam M, Yousefzadeh Ghoochani M, Heidary Karizaki M. Comparison the effects of intravenous hydrocortisone and dexamethasone before extubation on laryngospasm, cough and stridor after general anesthesia. Horizon Med Sci 2016; 22(2): 89-94. [In Persian].
  26. Khanavi M, Gholami K, Khodadadi M, Chaman R, Hadjiakhoundi A. Study of Tehran physician’s intensity for administration of herbal drug based on their prescription in the time period between 2007-2008 in 3 university related drugstores. J Med Plants 2011; 4 (40) :69-79. [In Persian].
  27. Mulyaningsih S, Sporer F, Zimmermann S, Reichling J, Wink M. Synergistic properties of the terpenoids aromadendrene and 1,8-cineole from the essential oil of Eucalyptus globulus against antibiotic-susceptible and antibiotic-resistant pathogens. Phytomedicine 2010; 17(13): 1061-6.
  28. Silva J, Abebe W, Sousa SM, Duarte VG, Machado MI, Matos FJ. Analgesic and anti-inflammatory effects of essential oils of Eucalyptus. J Ethnopharmacol 2003; 89(2-3): 277-83.
  29. Kraft K, Hobbs C. Pocket Guide to Herbal Medicine. Thieme; 2004.
  30. Poshtdar A, Abdali Mashhadi A, Moradi F, Siadat SA, Bakhshandeh A. Effects of different sources of nitrogen fertilizer and applied rates on essential oil content and composition of peppermints. Journal of Herbal Drugs 2016; 7(1): 51-7.
  31. Izadi Z, Esna-Ashari M, Ahmadvand G, Davoodi P, Piri K. Chemical composition and antibacterial activity of the essence oil of peppermint (Mentha piperita L) . Armaghane-danesh. 2009; 14 (3) :45-54. [In Persian].
  32. Banihashem N, Alijanpour E, Hasannasab B, Zarei A. Prophylactic effects of lidocaine or beclomethasone spray on post-operative sore throat and cough after orotracheal intubation. Iran J Otorhinolaryngol 2015; 27(80): 179-84.
  33. Ebneshahidi A, Mohseni M. Strepsils(R) tablets reduce sore throat and hoarseness after tracheal intubation. Anesth Analg 2010; 111(4): 892-4.
  34. Mohammadzadeh A, Jafarpoor M, Zarifnezhad G. Determining the effect of hydrocortizone on the vocal hoarseness after tracheal intubation in patients under gastric system surgery. J Sabzevar Univ Med Sci 2001; 8(1): 38-44. [In Persian].
  35. Zare S, Bagheri-Nesami M, Jafari H, Yazdani Charati J, Habibi V. Effect of eucalyptus vapor on hoarseness and sore throat following intubation after coronary artery bypass surgery . J Mazandaran Univ Med Sci. 2018; 27 (158) :56-66. [In Persian].
  36. Aryaeefar MR, Jafari H, Yazdani-Charati J, Soleimani A. Green tea gargling effect on cough and hoarseness after coronary artery bypass graft. Glob J Health Sci 2015; 7(5): 266-71.
  37. Gonzalez RM, Bjerke RJ, Drobycki T, Stapelfeldt WH, Green JM, Janowitz MJ, et al. Prevention of endotracheal tube-induced coughing during emergence from general anesthesia. Anesth Analg 1994; 79(4): 792-5.
  38. Khezri M, Jalili S, Asefzade S, Kayalha H. Comparison of intratracheal and intravenous lidocaine's effect on airways responses during extubation. J Birjand Univ Med Sci. 2011; 18 (2) :68-75. [In Persian].
مجله دانشکده پزشکی اصفهان
دوره 36، شماره 501 - شماره پیاپی 501
آذر و دی 1397
صفحه 1267-1275

فایل ها

سابقه مقاله

  • تاریخ دریافت: 22 خرداد 1397
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

هم رسانی

ارجاع به این مقاله

آمار