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Postoperative sore throat: topical hydrocortisone.

P C Stride1

  • 1Department of Anaesthetics, Queen Elizabeth Hospital, Edgbaston, Birmingham.

Anaesthesia
|November 1, 1990
PubMed
Summary

Hydrocortisone cream lubrication did not prevent postoperative sore throat in patients undergoing tracheal intubation. Lubricating tracheal tubes with KY jelly resulted in a lower incidence of sore throat compared to hydrocortisone cream.

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Area of Science:

  • Anesthesiology
  • Otolaryngology

Background:

  • Postoperative sore throat is a common complication following tracheal intubation.
  • Effective preventative strategies are sought to improve patient comfort.

Purpose of the Study:

  • To evaluate the efficacy of topical 1% hydrocortisone cream in preventing postoperative sore throat.

Main Methods:

  • Forty patients undergoing elective surgery requiring tracheal intubation were randomly assigned to two groups.
  • Group A tracheal tubes were lubricated with 1% hydrocortisone cream; Group B with KY jelly.

Main Results:

  • A significantly higher incidence of postoperative sore throat was observed in Group A (hydrocortisone cream).
  • KY jelly lubrication was associated with a lower incidence of sore throat.

Conclusions:

  • Topical 1% hydrocortisone cream is ineffective in preventing postoperative sore throat.
  • Further research may explore alternative lubrication methods for tracheal tubes.

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