Document Detail

Throat pain and pharyngeal packing: a controlled randomized double-blind comparison between gauze and tampons.
MedLine Citation:
PMID:  8877214     Owner:  NLM     Status:  MEDLINE    
In order to determine whether patients having pharyngeal packing experience more or less post-operative throat pain when tampons were used, 80 patients were randomized into two groups to receive either gauze or tampon pharyngeal packing. A third control group of 40 patients were intubated but did not have any throat packs. Post-operative throat pain was subjectively rated at both 6 hours and at 24 hours by an independent observer. Thirty-eight per cent of patients had moderate or severe throat pain in the gauze group, whilst in the tampon and control groups these amounted to only 15% and 1% respectively. A significantly higher proportion of patients also had a moderate or severe sore throat at 24 hours in the former group. Intubation alone resulted in a sore throat post-operatively in 50% of patients, but 85% of those had a mild sore throat only. No differences in pain ratings in any group could be shown between men or women or between age groupings. Endotracheal intubation often causes post-operative throat pain which is exacerbated by the use of pharyngeal packing. The results presented suggest that tampons are a safe, effective alternative to gauze and result in less severe post-operative throat pain.
J Marais; R J Prescott
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical otolaryngology and allied sciences     Volume:  18     ISSN:  0307-7772     ISO Abbreviation:  Clin Otolaryngol Allied Sci     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1997-01-16     Completed Date:  1997-01-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7701793     Medline TA:  Clin Otolaryngol Allied Sci     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  426-9     Citation Subset:  IM    
Department of Otolaryngology, Royal Infirmary, Edinburgh, UK.
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MeSH Terms
Double-Blind Method
Hypopharynx / physiopathology*,  surgery
Nasopharynx / physiopathology*,  surgery
Pain Measurement
Pain, Postoperative / physiopathology*
Tampons, Surgical*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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