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Updated: Sep 20, 2026

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
[Topical methylprednisolone vs lidocaïne for the prevention of postoperative sore throat]
B Lévy1, F Mouillac, D Quilichini
1Département d'anesthésie-réanimation, CHU La Timone, 264, rue Saint-Pierre, 13005 Marseille, France. barbaralevy@doctor.com
Objective:
We assessed the efficacy of topical methylprednisolone or lidocaine for prevention of postoperative sore throat.
Study Design:
Randomised, prospective in single blind study.
Patients And Methods:
Sixty patients ASA 1 or 2 undergoing tracheal intubation for dental surgery received before intubation either topical lidocaine 5% (15 puffs) or aerosolized methylprednisolone (80 mg). Postoperative pain was assessed by the patients using a VAS and a specific scoring system for sore throat, cough and hoarseness. Evaluations were performed immediately after emergence from anaesthesia, 1 h later, at time of the first postoperative drink, at time of the first postoperative meal and 24 h after surgery.
Results:
Patients receiving methylprednisolone showed slightly better scores for sore throat and cough 1 h after surgery.
Conclusion:
Topical methylprednisolone may therefore be a useful adjuvant in the prevention of sore throat after intubation.
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