FREQUENCY OF LARYNGOSPASM IN AWAKE VERSUS DEEP EXTUBATION AFTER INTRANASAL SURGERY

Laryngospasm After Intranasal Surgery

  • Syed Ehtesham Haider Naqvi 123 Medical Battalion Gilgit Pakistan
  • Rao Ali Shan Khan Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
  • Nadeem Ahmed Combined Military Hospital Skardu/National University of Medical Sciences (NUMS) Pakistan
  • Usman Eijaz Malik Combined Military Hospital Skardu/National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Yasir Rafiq Combined Military Hospital Skardu/National University of Medical Sciences (NUMS) Pakistan
Keywords: Awake extubation, Deep extubation, Intranasal surgery, Laryngospasm

Abstract

Objective: To compare the frequency of laryngospasm in awake versus deep extubation after intranasal surgery.
Study Design: Randomized controlled trial.
Place and Duration of Study: The study was carried out at Combined Military Hospital Rawalpindi which is a
tertiary care hospital, after seeking permission from Hospital Ethics Committee. Study was carried out for six
months, from Feb 2013 till Aug 2013.
Material and Methods: Two hundred and fifty patients fulfilling the inclusion criteria were selected for this
study and divided into two groups of 125 each. Patients of group A were extubated fully awake while the
patients assigned to group B were extubated during deep anaesthesia. Patients were then monitored closely for 30
minutes to assess whether they developed laryngospasm or not.
Results: The mean age in group-A was 23.92 ± 5.01 years and in group-B was 24.16 ± 5.56 years. The mean height
in group-A was 169.53 ± 4.74cm and in group-B was 170.42 ± 4.34 cm. The mean weight in group-A was 66.18 ±
6.31 kg and in group-B was 65.67 ± 6.00 kg. In group-A 72% patients were male and 28% were female while in
group-B 76% patients were male and 24% patients were female. In group-A 9 (7.2%) patients developed
laryngospasm and in group B 6 (4.8%) patients developed laryngospasm.
Conclusion: There is no difference in frequency of laryngospasm in awake versus deep extubation after intranasal
surgery.

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Published
2018-10-31
How to Cite
Naqvi, S. E. H., Khan, R. A. S., Ahmed, N., Malik, U. E., & Rafiq, M. Y. (2018). FREQUENCY OF LARYNGOSPASM IN AWAKE VERSUS DEEP EXTUBATION AFTER INTRANASAL SURGERY. Pakistan Armed Forces Medical Journal, 68(5), 1293-99. Retrieved from https://mail.pafmj.org/index.php/PAFMJ/article/view/2310
Section
Original Articles