TY - JOUR
T1 - How does tube size affect patients’ experiences of postoperative sore throat and hoarseness? A randomised controlled blinded study
AU - Christiansen, Pia
AU - Pedersen, Caroline Hornnes
AU - Selter, Hansjörg
AU - Odder, Lillian
AU - Riisager, Jette Præstholm
AU - Damgaard, Kjeld
AU - Westmark, Signe
AU - Bruun, Niels Henrik
AU - Melgaard, Dorte
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/12/13
Y1 - 2021/12/13
N2 - Sore throat (POST) and hoarseness (PH) are common complaints after endotracheal intu-bation (EI). The aim of this study was to investigate whether tube size impacts the experiences of POST and PH after EI in patients undergoing elective surgery, as well as to document a possible role of gender. This randomised, controlled, blinded study was conducted at Aalborg University Hospital, Thisted, Denmark or North Denmark Regional Hospital, Denmark. A total of 236 patients (53.4% female, mean age 50.9 years (SD 14.0)) were enrolled from the departments of gynaecology, parenchyma and orthopaedics. The patients were randomised to a tube size of 8.0 or 7.0 for males and 7.0 or 6.0 for females. Tube sizes were known to the anaesthesia staff but blinded for patients, researchers and staff at the postoperative care unit. POST and/or PH was reported 30–60 min before anaesthesia, at 30 min and at 2, 5, 12, 24, 48, 72 and 96 h after anaesthesia. Both female and male patients experienced significantly lower levels of POST and PH after intubation with the smallest tube size. This study demonstrates that a smaller size of tube results in a reduction in POST and PH after EI for both male and female patients.
AB - Sore throat (POST) and hoarseness (PH) are common complaints after endotracheal intu-bation (EI). The aim of this study was to investigate whether tube size impacts the experiences of POST and PH after EI in patients undergoing elective surgery, as well as to document a possible role of gender. This randomised, controlled, blinded study was conducted at Aalborg University Hospital, Thisted, Denmark or North Denmark Regional Hospital, Denmark. A total of 236 patients (53.4% female, mean age 50.9 years (SD 14.0)) were enrolled from the departments of gynaecology, parenchyma and orthopaedics. The patients were randomised to a tube size of 8.0 or 7.0 for males and 7.0 or 6.0 for females. Tube sizes were known to the anaesthesia staff but blinded for patients, researchers and staff at the postoperative care unit. POST and/or PH was reported 30–60 min before anaesthesia, at 30 min and at 2, 5, 12, 24, 48, 72 and 96 h after anaesthesia. Both female and male patients experienced significantly lower levels of POST and PH after intubation with the smallest tube size. This study demonstrates that a smaller size of tube results in a reduction in POST and PH after EI for both male and female patients.
KW - Endotracheal intubation
KW - Patient care
KW - Postoperative pain
KW - Postoperative sore throat
KW - Upper airway anatomy
UR - http://www.scopus.com/inward/record.url?scp=85121045353&partnerID=8YFLogxK
U2 - 10.3390/jcm10245846
DO - 10.3390/jcm10245846
M3 - Journal article
AN - SCOPUS:85121045353
SN - 2077-0383
VL - 10
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 24
M1 - 5846
ER -