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Lidokain untuk Mencegah Gagging, Batuk dan Spasme Laring pada Pemasangan Sungkup Laring dengan Induksi Tiopental : Perbandingan Pemberian secara Semprot ke Orofaring dengan Intravena

Insertion of laryngeal mask with thiopentone often cause airway reflex such as gagging, coughing and laryngospasm. By giving topical lidocaine spray or lidocaine intravenously, the airway reflex may be avoided. This study was therefore designed to compare the effectiveness between topical lidocaine spray and intravenously

Conditions for insertion laryngeal mask airway in 80 patient were assesed in randomized, double blind. Each patient received morphine 0,1 mg/kg as premedication Group 1 received 40 mg of topical lidocaine spray to the posterior pharyngeal wall, group 2 received lidocaine 1.5 mg/kg intraveously Induction agent is thiopentone 5 mg/kg Conditions for laryngal mask airway insertin -such as gagging, coughing and laryngospasm- were recorded

The group receiving topical spray lidocaine had incidence of gagging 2016, coughing 5%, Laryngospasm 5, the lidocaine intravenous group fed incidence of gagging 47,5%, coughing 17,5%, laryngospasm 12.5% Incidence of gagging had significant difference (p