Work

To Compare the Postoperative Sore Throat and Hoarseness in Difficult-Airway Adults Undergoing General Anesthesia with or without an Intubating Laryngeal Mask Airway Left Over the Endotracheal Tube

Year: 2026

Type: article

Abstract: Background: Extubation in difficult airways patients may provoke cough and laryngospasm. To reduce airway irritation after intubation, Blockbuster Intubating Laryngeal Mask Airway (BBILMA) is mainly used. Materials and Methods: Patients with difficult airway were divided into two groups with 20 patients in each. BBILMA was left inside the endotracheal tube even after extubation in the LT group. Mask airway was removed once the intubation was done in the ET group. Postoperative sore throat, cough, hoarseness, leak pressure, and hemodynamics were noted up to 48 hours in both the groups. Results: Both groups showed comparable demographics and extubation characteristics. Oropharyngeal leak pressures were almost similar-30.5 ± 5.4 (LT) and 28.8 ± 7.2 (ET). Fiberoptic scores were likewise comparable at 3.2 ± 0.7 (LT) and 3.1 ± 0.8 (ET). At 48 hours, the LT group reported cough in one patient and sore throat in four, with no hoarseness; the ET group reported cough in two patients, sore throat in four, and hoarseness in one. Conclusion: after extubation. Thereby, it is safe in difficult-airway cases.

Source: Journal of Pharmacy And Bioallied Sciences

DOI: 10.4103/jpbs.jpbs_19_26

Authors: Pallavi Paruthi, Sahil Maingi, Sajal Maingi, Amita Gupta

Institutions: Dayanand Medical College & Hospital, Safdarjang Hospital, Vardhman Mahavir Medical College & Safdarjung Hospital

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $250