Comparison the Events of Postoperative Sore Throat in Patients Undergoing Surgery with General Anesthesia Endotracheal Tube After the Administration of Dexamethason and NACL 0.9% at Haji Adam Malik Hospital Medan
Wibowo, Wicak Kunto
Nasution, Akhyar Hamonangan
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Introduction: Most surgeries require general anesthesia, where one of its complication is sore throat. Sore throat can reduce patient’s satisfaction and increase postoperative discomfort ranging from 17% to 76%. Some way to reduce this complication are to restrict physical trauma arising from instrumentation and airway manipulation. Objective: To determine the difference in throat pain by administering intravenous dexamethasone versus intravenous NaCl 0,9% in postoperative patients with general anesthesia endotracheal tube at Haji Adam Malik General Hospital, Medan. Method: This research is an experimental research with a double-blind randomized research design. After obtaining approval from the Ethics Committee, Medical Faculty, University of North Sumatra, Medan, 62 samples were collected, ages 21-60 years, PS-ASA I-II, agree to participate, informed consent approval, and operating time < 3 hours. After being calculated statistically, all samples were randomly divided into 2 groups. Group A received 10 mg dexamethasone and group B received NaCl 0,9%. Data were tested with the Mann Whitney Test with a significance of p<0.05. Results: The mean VAS value in patients who was given by dexamethasone were VAS 2 for T1 and T2, and VAS 1 for T3 and T4. The mean VAS value in patients who was given by NaCl 0.9% were VAS 3 for T1, VAS 2 for T2 and T3, and VAS 1 for T4. Conclusion: There was a statistically significant difference after administering dexamethasone compared with NaCl 0,9%.