Online ISSN: 2515-8260

Keywords : postoperative sore throat and hoarseness of voice


Comparison between water based lubricant and betamethasone gel for lubrication during tracheal intubation through LMA CTrach™ with polyvinyl chloride tube on the incidence of postoperative sore throat and hoarseness of voice

Dr. Handattu Mahabaleswara Krishna, Dr. Karri Pavani, Dr. Allenki Prashanthi, Dr. Gottipati Rajendra, Dr. Kiranmayi Karanati

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 344-350

Context: Intubation through LMA CTrach™ involves manipulations with the LMA and tracheal tube.
Thus there is a possibility of postoperative sore throat and hoarseness of voice as with any other methods
of tracheal intubation.
Aims: To compare the incidence of postoperative sore throat and hoarseness of voice with water based
lubricant when betamethasone gel is used for lubrication during intubation.
Settings and Design: Prospective observational study commenced after approval from hospital ethics
committee and was conducted over a period of one year.
Methods and Material: Patients fulfilling the inclusion criteria were grouped into 2 groups depending
on whether betamethasone gel 0.05% was used as a lubricant (Group Betamethasone) or water soluble
lubricant was used for lubrication (Group Water based lubricant) during intubation with LMA CTrach™.
Patients were assessed for sore throat and hoarseness of voice after 24 hours of surgery.
Statistical analysis: Parametric data were analysed using independent samples t-test. Nonparametric
data were analysed using chi-square test or Fisher’s exact test. P value less than 0.05 was considered
significant.
Results: The incidence of postoperative sore throat in Group Betamethasone and Group Water based
lubricant was 26.82% and 26.82% respectively. Similarly the incidence of hoarseness of voice was
14.63% and 21.95% respectively.
Conclusion: We conclude that betamethasone gel does not reduce the incidence of postoperative sore
throat and hoarseness of voice compared to water based lubricant for intubation with PVC tracheal tube
through LMA CTrach™.

Craniofacial anthropometric study of normal newborns in a tertiary care hospital of Solan

Dr. Mehakdeep Singh, Dr. Rajeev Vinayak, Dr. Inderpreet Sohi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 351-363

Facial anthropometry is very important for the study of human growth and variation in different races
and also for clinical diagnosis and treatment. A study was conducted in the Department of Paediatrics,
Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan to make a database of
various anthropometric measurements, especially craniofacial anthropometry of normal full term
newborns born in the hospital.
Objective: To measure craniofacial anthropometric parameters of normal full term newborns, make a
database and to statistically analyze the correlation (comparison) between male and female neonates with
respect to the above-mentioned parameters.
Material & Methods: Study was conducted from the month of February 2020 to October 2020 on 453
newborns. All the facial parameters were measured with the help of vernier caliper and were taken twice
and final value was taken as the average value of the two measurements.
Statistics: Mann-Whitney U and Wilcoxon Rank Sum tests were used to compare 2 groups.
Findings: The mean value and range for all the parameters was determined. A statistically significant
difference in Face Width (p<0.038), weight (p<0.019), Foot Length (p<0.030), Crown Heel Length
(p<0.049) and Nasal Width (p<0.046) between male and female newborns was seen.
Conclusion: The local values have been derived from well-defined populations to make and expand the
normative database of various craniofacial anthropometric parameters. Pediatricians can be benefitted by
this study for screening and diagnosis of various craniofacial abnormalities as a part of complex genetic
disorders and for craniofacial surgeries.