ASSESSING THE EFFICACY OF ENDOTRACHEAL TUBE CUFF LIGNOCAINE IN PREVENTING POST-EXTUBATION COUGH IN CHILD SUBJECTS UNDERGOING ELECTIVE SURGERIES
DOI:
https://doi.org/10.56802/97mpmb51Keywords:
cuff inflation, pediatric subjects, , air inflation, laryngospasm lignocaine inflation, , post-extubationAbstract
Background: Airway complications are more common in child subjects compared to adults following extubation. IV (intravenous) lignocaine is efficacious in preventing the response to extubation. However, existing literature data is scarce concerning the use of intracuff lignocaine in micro-cuff endotracheal tubes.
Aim: The present study aimed to comparatively assess the incidence of cough post-extubation in intracuff air and intracuff lignocaine in pediatric subjects during tracheal extubation.
Methods: The study assessed 240 subjects aged 1-12 years who were undergoing surgeries under general anesthesia. They were randomly divided into two groups of 120 subjects each where Group I subjects were given intracuff air and Group II subjects intracuff 2% lignocaine. Following general anesthesia, the airway was secured with age-appropriate microcuff endotracheal tube. This was followed by cuff inflation with air/lignocaine based on the group to reach a cuff pressure of 10cm H2O. In both groups, the incidence of hemodynamic changes, apnea, laryngospasm, desaturation, and cough was assessed following extubation.
