Syed Ehtesham Haider Naqvi, Rao Ali Shan Khan, Nadeem Ahmed, Usman Eijaz Malik, Muhammad Yasir Rafiq.
Frequency of laryngospasm in awake versus deep extubation after intranasal surgery.
Pak Armed Forces Med J Jan ;68(5):1293-99.

Objective: To compare the frequency of laryngospasm in awake versus deep extubation after intranasal surgery. Study Design: Randomized controlled trial. Place and Duration of Study: The study was carried out at Combined Military Hospital Rawalpindi which is a tertiary care hospital, after seeking permission from Hospital Ethics Committee. Study was carried out for six months, from Feb 2013 till Aug 2013. Material and Methods: Two hundred and fifty patients fulfilling the inclusion criteria were selected for this study and divided into two groups of 125 each. Patients of group A were extubated fully awake while the patients assigned to group B were extubated during deep anaesthesia. Patients were then monitored closely for 30 minutes to assess whether they developed laryngospasm or not. Results: The mean age in group-A was 23.92 ± 5.01 years and in group-B was 24.16 ± 5.56 years. The mean height in group-A was 169.53 ± 4.74cm and in group-B was 170.42 ± 4.34 cm. The mean weight in group-A was 66.18 ± 6.31 kg and in group-B was 65.67 ± 6.00 kg. In group-A 72% patients were male and 28% were female while in group-B 76% patients were male and 24% patients were female. In group-A 9 (7.2%) patients developed laryngospasm and in group B 6 (4.8%) patients developed laryngospasm. Conclusion: There is no difference in frequency of laryngospasm in awake versus deep extubation after intranasal surgery.

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