• African health sciences · Dec 2013

    Randomized Controlled Trial

    Effects of intravenous diclofenac on postoperative sore throat in patients undergoing laparoscopic surgery at Aga Khan University Hospital, Nairobi: a prospective, randomized, double blind controlled trial.

    • P Thang'a, D Kamya, and V Mung'ayi.
    • Department of Anaesthesia, Agakhan University, East Africa.
    • Afr Health Sci. 2013 Dec 1;13(4):999-1006.

    Backgroundpostoperative sore throat is the commonest complication after endotracheal intubation. The efficacy of intravenous non-steroidal anti-inflammatory drugs in alleviating postoperative sore throat has not been investigated.ObjectiveTo evaluate the effect of intravenous diclofenac sodium on the occurrence and severity of postoperative sore throat.Methods42 in-patients scheduled for laparoscopic surgery were randomized into two equal groups to receive either a single dose of 75mg intravenous diclofenac sodium in addition to standard treatment taken at our hospital for the prevention of postoperative sore throat or to receive standard treatment only. All patients were interviewed postoperatively at 2, 6 and 18 hours. Data of the baseline characteristics, the incidence and severity of sore throat were collected. If sore throat was present, a Visual Analogue Score was used to assess its severity.Resultsthe baseline characteristics of the participants were similar. The majority of the patients undergoing laparoscopic surgery were women. There was no statistically significant difference in the occurrence or severity of postoperative sore throat between the diclofenac and standard treatment groups at 2, 6 and 18 hours postoperatively.ConclusionIntravenous diclofenac sodium does not reduce the occurrence or severity of postoperative sore throat.

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