Author/Authors :
Elyassi، Hedayatollah نويسنده MD, Professor, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran , , Mousavinasab، Masoud نويسنده MD, Anesthesiologist, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran , , Rambod، Mehdi نويسنده MD, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran , , Hashemian، Seyed Mohammad Reza نويسنده , , Dabbagh، Ali نويسنده MD, Associate Professor, Fellowship in Cardiac Anesthesia, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran ,
Abstract :
Objectives: Throat pain is a common postoperative complaint.
In this study, we aimed to determine its incidence of throat pain
after rhinoplasty by general anesthesia (GA) or conscious sedation
(CS).
Methods: We evaluated throat pain in postanesthesia care unit,
4, 12 and 24 hours after surgery using a numerical rating scale
(NRS) in a clinical trial. A total number of 252 consecutive females
aging over 18 years undergoing GA or CS for elective
rhinoplasty entered the study after implementing inclusion and
exclusion criteria. A logistic regression model was used to predict
having throat pain.
Results: The incidence of throat pain after CS and GA in
postanesthesia care unit, 4, 12 and 24 hours after rhinoplasty
were 34.9% vs. 34.9% (P = 0.99), 27.0% vs. 33.3% (P = 0.27),
14.3% vs. 22.2% (P = 0.10), 10.3% vs. 15.9% (P = 0.19), respectively.
The odds ratio for throat pain was statistically significant
for nausea/vomiting in postanesthesia care unit (OR = 11.1, 95%
CI: 5.7-21.8; P < 0.0001).
Conclusions: Method of anesthesia had no independent role in
predicting throat pain. Although larynx of subjects undergoing
general anesthesia is manipulated by tracheal intubation, sedation
has its specific risks for promoting throat pain after surgery.
Therefore, neither CS nor GA is superior in terms of throat
pain.
