Comparison of two methods of using lubricant gel and lidocaine 2% gel when placing the laryngeal mask airway on the symptoms of hemodynamics and anesthesia reactions in patients undergoing cataract surgery: A randomized double-blind clinical trial study

authors:

avatar Mohammad Hasan Damshenas , avatar Navid Kalani ORCID , avatar ahmad rastgarian , *

Koomesh: Vol.23, issue 2; 218-226
published online: May 02, 2021
article type: issue_documents_importer
received: May 04, 2020
accepted: August 02, 2020

how to cite: Damshenas M H, Kalani N, rastgarian A. Comparison of two methods of using lubricant gel and lidocaine 2% gel when placing the laryngeal mask airway on the symptoms of hemodynamics and anesthesia reactions in patients undergoing cataract surgery: A randomized double-blind clinical trial study. koomesh. 2021;23(2):e153259. 

Abstract

Introduction: Due to the high sensitivity, eye surgeries should have the least irritating reactions after anesthesia. On the other hand, due to the fact that the laryngeal mask is less irritated, using this device is always a good choice in cataract surgery. Postoperative stimulation the present study was designed to compare the two methods of using Lubricant gel, lidocaine gel during laryngeal mask airway (LMA) on hemodynamic symptoms and anesthesia reactions in patients undergoing cataract surgery. Materials and Methods: This randomized double-blind clinical trial study was performed on 120 patients undergoing cataract surgery. Patients were randomly divided into 60 equal groups of lidocaine gel and lubricant gel. Systolic and diastolic blood pressure, heart rate and arterial oxygen saturation before and immediately after induction 5 minutes after surgery 15 minutes after surgery, 30 minutes after surgery and were calculated in recovery. Episodes of cough, sore throat, nausea and vomiting in recovery, 2, 6, 12 and 24 hours after surgery were also recorded in the ophthalmology department. Results: The findings of the present study indicated that the groups were not significantly different in terms of demographic characteristics. There was no significant difference between cough, nausea and heart rate and oxygen saturation rate of arterial blood 30 minutes after surgery and recovery in the airway of the laryngeal mask after its exit, but in sore throat and saturation of arterial blood hemoglobin there is a significant difference. The intensity of sore throat in the lidocaine group decreased and the oxygen saturation of arterial blood increased in the 15 minutes after surgery in the lidocaine group. Conclusion: The results showed that in general, the use of lidocaine could be effective in reducing the severity of sore throat after surgery compared to lubricant, although no significant difference was observed between other variables it is recommended in future studies in surgery and Caesar with more facilitators for LMA.

References

  • 1.

    Stone DJ, Gal TJ. Airway management. In Miller RD. Anesthesia. Philadelphia, Churchill Livingstone Co 2000; 1414-1451.

  • 2.

    Collins VJ. Principles of anesthesiology. Philadelphia, Lea & Febigor 1993; 518-559.

  • 3.

    Aliya A, Shemaila A, Hasham B, Muhammad I. Postoperative sore throat after elective surgical procedures. J Ayub Med Coll 2007; 19: 12-14.

  • 4.

    Kati I, Tekin M, Silay E, Huseyinoglu UA, Yildiz H. Dose benzydamine hydrochloride applied preemptively reduce sore throat due to Laryngeal mask air way? Anesth Analg 2004; 99: 710-712.

  • 5.

    Brimacombe J. The advantages of the LMA over the tracheal tube or face mask: a meta-analysis. Can J Anesth 1995; 42: 1017-1023.

  • 6.

    Joshi GP, Inagaki Y, White PF, Taylor Kennedy L, Wat LI, Gevirtz C, et al. Use of the laryngeal mask airway as an alternative to the tracheal tube during ambulatory anesthesia. Anesth Analg 1997; 85: 573-577.

  • 7.

    Miller RD. Anesthesia. 7th ed. Philadelphia: Churchill Livingstone 2010; 1573-1574.

  • 8.

    Cooper RM. The LMA, laparoscopic surgery and the obese patient-can vs should. Can J Anaesth 2003; 50: 5-10.

  • 9.

    Brain AIJ. Modication of laryngeal mask insertion technique in children. Anesth Analg 1995; 81: 212.

  • 10.

    Abedzadeh M, Sadat Z, Saberi F. The efficacy of 2% lidocaine gel versus diclofenac suppository in pain reliving after episiotomy. Koomesh 2009; 10: 301-306. (Persian).

  • 11.

    Foroughian M, Abiri S, Akbari H, Shayesteh Bilandi V, Habibzadeh SR, Alsana F, et al. Effectiveness of intravenous lidocaine versus intravenous morphine in reducing acute extremity trauma-induced pain: A triple-blind randomized clinical trial. Koomesh 2020; 22: 411-418. (Persian).##https://doi.org/10.29252/koomesh.22.3.411.

  • 12.

    Chan ST, Med M, Tham CS. The effects of 2% lignocaine gel on incidence of retching with the use of the laryngeal mask airway. Anesthesia 1995; 50: 257-258.

  • 13.

    Millett SV, Allman KG. Lignocaine gel and the laryngeal mask airway. Anesthesia 1995; 50: 747.

  • 14.

    Edwards ND. Lignocaine gel and the laryngeal mask airway. Anesthesia 1995; 50: 746-747.

  • 15.

    Ghanei Jahromi M, Sahraei R, Keshavarz S, Kalani N, Taban S. Comparison of two methods of using normal saline and lidocaine gel during laryngeal mask airway insertion on hemodynamic symptoms and emergence reactions in patients undergoing cataract surgery: A double-blind randomized controlled trial. Int J Psychosoc Rehab 2020; 24: 2421-2437. (Persian).

  • 16.

    Hazrati E, Rafiei MR, Rezakhaniha B, Taheri S, Kazemi SH. Comparison of laryngeal mask airway insertion with lubricant jel versus lidocaine jel during varicocelectomy. NPWJM 2017; 5: 5-9. (Persian).

  • 17.

    Shin WJ, Cheong YS, Yang HS, Nishiyama T. The supraglottic airway I-gel in comparison with ProSeal laryngeal mask airway and classic laryngeal mask airway in anaesthetized patients. Eur J Anaesth 2010; 27: 598-601.

  • 18.

    Mahoori A, Hassani E, Karami N, Najafi M. Influence of Endotracheal tube cuff Lubrication with Lubricant Gel on Postoperative Sore Throat. Jap 2015; 6: 9-15.

  • 19.

    Nasseri K, Shami S, Rashidzadeh L, Amini Kanisiran L. Evaluation of lidocaine efficacy on attenuation of sore throat, cough and itching after laryngeal mask airway insertion in elective eye surgery. J Mazandaran Univ Med Sci 2013; 23: 103-107. (Persian).

  • 20.

    Keller C, Sparr HJ, Brimacombe JR. Laryngeal mask lubrication. A comparative study of saline versus 2% lignocaine gel with cuff pressure control. Anesthesia 1997; 52: 592-597.

  • 21.

    Park PG, Choi GJ, Kim WJ, Yang SY, Shin HY, Kang H, et al. A comparative study among normal saline, water soluble gel and 2% lidocaine gel as a SLIPA lubricant. Korean J Anesthesiol 2014; 66: 105.

  • 22.

    Gilani MT, Soleimani IM, Razavi M, Salehi M. Reducing sore throat following laryngeal mask airway insertion: comparing lidocaine gel, saline, and washing mouth with the control group. Rev Bras Anestesiol 2015; 65: 450-454.

  • 23.

    Ryu JH, Yom CK, Park DJ, Kim KH, Do SH, Yoo SH, Oh AY. Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. World J Surg 2014; 38: 378-384.

  • 24.

    Van Zundert TC, Brimacombe JR. Similar oropharyngeal leak pressures during anaesthesia with i-gelTM, LMA-ProSealTM and LMA-SupremeTM Laryngeal Masks. Acta Anaesthesiol Belg 2012; 63: 35-41.

  • 25.

    Chan ST, Tham CS. The effects of 2% lignocaine gel on incidence of retching with the use of the laryngeal mask airway. Anesthesia 1995; 50: 257-258.