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American Journal of Oral Medicine and Radiology

Volume 5, Issue 2, 2018
Mcmed International
American Journal of Oral Medicine and Radiology
Issn
XXX-XXXX (Print), 2394 - 7721 (Online)
Frequency
bi-annual
Email
editorajomr@mcmed.us
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Abstract
Title
COMPARISON OF 'NO TOUCH' EXTUBATION TECHNIQUE WITH STANDARD AWAKE EXTUBATION IN NASAL SURGERY (GENERAL ANETHESIA): A PROSPECTIVE STUDY
Author
Dr. Tirmanwar Amar Govind Rao
Email
keyword
Airway complication, Emergence, Extubation, Nasal, Sinus, Surgery, Technique, Tracheal, No Touch.
Abstract
This study aimed to assess airway complications associated with the "no touch" extubation technique in patients undergoing nasal surgery. A total of 120 patients were randomly assigned to either standard fully awake extubation (Group I) or absolute "no touch" awake extubation (Group II). Laryngospasms were graded using a four-point scale, and airway events, wound oozing, and sore throats were recorded. Baseline measurements of heart rate (HR), systolic blood pressure (SBP), and diastolic blood pressure (DBP) were taken. Patients undergoing "no touch" extubation did not experience laryngeal spasms or desaturation episodes, while the standard fully awake group had three cases of laryngeal spasm. In the "no touch" group, coughing, excessive secretions, airway obstruction, hoarseness, biting, and non-purposeful limb movements were significantly reduced. During emergence extubation, the "no touch" group showed significantly lower changes in HR, SBP, and DBP compared to the standard fully awake group. Additionally, standard fully awake extubation resulted in significantly more wound oozing. The incidence of post-surgery sore throats did not significantly differ between the two groups. Overall, in nasal and paranasal surgeries, awake "no touch" tracheal extubation appears to be associated with fewer airway-related complications. It may serve as a safe alternative to standard tracheal extubation in airway surgery
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