Intracuff Lidocaine and Postoperative Throat Mucosal Injuries: An Evidence-based Review

Examine the effectiveness of using intracuff lidocaine to minimize postoperative complications. Systematic review. This review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines. PubMed, CINAHL, Cochrane, Google Scholar, and gray literature database...

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Bibliographic Details
Published in:	Journal of perianesthesia nursing
Main Authors:	Wallen, Shelby L., Paul, Tony V., Tubog, Tito D.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 25-06-2024
Subjects:	alkalinized lidocaine intracuff lidocaine nonalkalinized lidocaine postoperative cough postoperative hoarseness postoperative sore throat intracuff lidocaine postoperative hoarseness nonalkalinized lidocaine postoperative sore throat alkalinized lidocaine postoperative cough
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Summary:	Examine the effectiveness of using intracuff lidocaine to minimize postoperative complications. Systematic review. This review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines. PubMed, CINAHL, Cochrane, Google Scholar, and gray literature databases were searched to obtain eligible studies and minimize selection bias. The Johns Hopkins Nursing Evidence-Based Practice Model was used to appraise the level of evidence for the varying studies. Only randomized controlled trials (RCT) and systematic reviews with meta-analyses of RCTs were included in the review. Three RCTs and three systematic reviews with meta-analyses incorporating a total of 2,337 patients were included in this review. Intracuff lidocaine (alkalinized and nonalkalinized) had the lowest incidence of postoperative sore throat in the early and late postoperative periods compared to intracuff air or intracuff saline. Furthermore, the evidence suggested that the use of intracuff lidocaine reduced postextubation cough and the incidence of hoarseness but had little or no effect on dysphagia. All studies were Level 1 and Grade A, indicating clinically solid evidence in analyzing intracuff lidocaine’s effect on all outcomes measured. The current literature suggests the feasibility of using intracuff lidocaine as an effective method to reduce the incidence of postoperative sore throat, postextubation cough, and hoarseness. The implications to practice include improving the norm of postoperative throat mucosal injuries by implementing an evidence-based practice intervention of intracuff lidocaine.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	1089-9472 1532-8473 1532-8473
DOI:	10.1016/j.jopan.2024.03.005