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Prof. Ahmed Mostafa Abd El-Hamid :: Publications:

Title:
Lidocaine Nebulizer reduce response to endotracheal intubation and the need for postoperative analgesia after nasal operations
Authors: Ahmed M. Abd El-Hamid, Ali M. Hasan, M. Hamed Abd El-fattah and Ahmed Shehata
Year: 2013
Keywords: Not Available
Journal: Journal of American Science
Volume: 9
Issue: 12
Pages: 287:291
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Ahmed Mostafa Abd El-Hamid_040_21873am0912_287_291[1].pdf
Supplementary materials Not Available
Abstract:

Abstract: Objectives: The aim of this study to investigate whether lidocaine nebulizer attenuates airway-circulatory reflexes during induction and emergence, tube tolerance, nasal pack tolerance and reduced total dose of opioid analgesia Patients and methods: This prospective, randomized, placebo controlled, double blind clinical trial was conducted on 60 patients scheduled for nasal surgery under general anesthesia were randomly allocated into two equal groups: Group A (Study group) was given Lidocaine 2% (2 mg/kg) in 5 ml saline was added to a standard nebulizer with a full face mask attached with O2 flow at 3 L/min., then the patient was asked to inhale the local anesthetic vapor deeply for 15 minutes and Group B (control group) was given5 ml saline 0.9% was added to a standard nebulizer with a full face mask attached with O2 flow at 3L/min. over 15 minutes. Hemodynamic parameters, tube tolerance, nasal pack tolerance, amount of bleeding, time to first analgesic request, total Morphine consumption over the 1st 24 hours and postoperative pain score were recorded. Results: Patient’s tolerance to endotracheal tube in the study group showed a highly significant increase in numbers of patients in grade 0 and highly significant decrease in numbers in grades 1 and 2 in comparison with the control group. The study group showed better tolerance to nasal pack than the control group. The amount of blood collected was significantly higher in the study than the control group. Time to 1st analgesic request was highly significant longer in study group than control group. Total morphine dose given to patients in the 1st 24 hours postoperatively was significantly higher in the control group than the study group. Conclusion: Lidocaine nebulizer technique is simple effective way to suppress the cough and hyper dynamic reflex responses with minimal side effect.

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