Huh Hyub, Go Doo Yeon, Cho Jang Eun, Park Jihoon, Lee Jiwon, Kim Hyun-Chang
Department of Anaesthesiology and Pain Medicine, College of Medicine, Kyung Hee University Hospital at Gang Dong, Seoul, Korea.
Department of Anaesthesiology and Pain Medicine, College of Medicine, Korea University Anam Hospital, Seoul, Korea.
J Int Med Res. 2021 Feb;49(2):300060520961237. doi: 10.1177/0300060520961237.
General anaesthesia with tracheal intubation results in sore throat. We evaluated the influence of the two-handed jaw thrust on postoperative sore throat in patients who require tracheal intubation.
In this prospective, double-blind, single-centre, parallel-arm, and randomised trial, 92 patients who were scheduled for general anaesthesia for total hip arthroplasty were allocated to one of two groups. In the jaw thrust group (n = 46), the two-handed jaw thrust manoeuvre was applied at intubation. In the control group (n = 46), conventional intubation with sham jaw thrust was performed. Incidences of airway morbidities including sore throat, hoarseness, and cough at 2, 4, and 24 hours postoperatively were compared.
During the postoperative 24 hours, the incidence of sore throat (8 [17%] vs. 20 [44%]) and hoarseness were lower in the jaw thrust group (8 [17%] vs. 18 [39%]) compared with the control group. The incidence of cough during the postoperative 24 hours was similar between the groups.
The jaw thrust manoeuvre significantly reduced sore throat and hoarseness in patients after general anaesthesia using tracheal intubation.Clinical trial registration: NCT03568279.
气管插管全身麻醉会导致咽喉疼痛。我们评估了双手托下颌法对需要气管插管患者术后咽喉疼痛的影响。
在这项前瞻性、双盲、单中心、平行组随机试验中，92例计划接受全髋关节置换术全身麻醉的患者被分配到两组中的一组。在托下颌组（n = 46），插管时采用双手托下颌操作。在对照组（n = 46），进行假托下颌的传统插管。比较术后2小时、4小时和24小时包括咽喉疼痛、声音嘶哑和咳嗽在内的气道并发症发生率。
术后24小时内，与对照组相比，托下颌组咽喉疼痛发生率（8 [17%] 对 20 [44%]）和声音嘶哑发生率（8 [17%] 对 18 [39%]）更低。两组术后24小时内咳嗽发生率相似。
托下颌操作显著降低了气管插管全身麻醉患者术后的咽喉疼痛和声音嘶哑。临床试验注册号：NCT03568279。
