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Beclomethasone prevents postoperative sore throat

M el Hakim1

  • 1Department of Anaesthesia, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.

Acta Anaesthesiologica Scandinavica
|April 1, 1993
PubMed
Summary

Beclomethasone inhaler significantly reduced postoperative sore throat after tracheal intubation compared to lidocaine spray. This finding suggests beclomethasone is a superior preventative treatment for sore throat post-surgery.

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Area of Science:

  • Anesthesiology
  • Pharmacology
  • Surgical Patient Care

Background:

  • Postoperative sore throat is a common complication following tracheal intubation.
  • Existing treatments like lidocaine spray offer variable relief.
  • Novel preventative strategies are needed to improve patient outcomes.

Purpose of the Study:

  • To compare the efficacy of beclomethasone inhaler versus lidocaine spray in preventing postoperative sore throat.
  • To evaluate beclomethasone's effectiveness as a prophylactic measure before tracheal intubation.

Main Methods:

  • A randomized study involving 120 patients undergoing elective surgery requiring tracheal intubation.
  • Patients received either beclomethasone inhaler (50 micrograms) or lidocaine 10% spray.
  • Postoperative sore throat incidence was assessed and compared between groups.

Main Results:

  • 90% of patients in the beclomethasone group reported no sore throat, compared to 45% in the lidocaine group (P < 0.001).
  • Beclomethasone demonstrated a statistically significant reduction in postoperative sore throat incidence.

Conclusions:

  • Beclomethasone inhaler is highly effective in preventing postoperative sore throat after tracheal intubation.
  • Pre-intubation administration of beclomethasone inhaler is recommended for general anesthesia to mitigate sore throat.

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