Sore Throat After Open Neck Elective Surgery
Effect of Hydrocortisone and Lidocaine on Endotracheal Tube for Sore Throat and Hoarseness After Thyroid/Parathyroid Surgery With Neuromonitoring: A Randomized Controlled Trial
Saint Petersburg State University, Russia
764 participants
Sep 15, 2025
INTERVENTIONAL
Conditions
Summary
This randomized, double-blind clinical trial aims to evaluate the effectiveness of two medications-hydrocortisone ointment and lidocaine solution-applied to the endotracheal tube in reducing postoperative throat pain, hoarseness, and cough following thyroid or parathyroid surgery with neuromonitoring. A total of 764 adult patients undergoing elective neck surgery at Saint-Petersburg State University Hospital will be enrolled and randomly assigned to receive either a hydrocortisone-coated or lidocaine-coated endotracheal tube. Outcomes will be assessed upon awakening from anesthesia, at 24 hours, and again at 3 days postoperatively. The findings may contribute to improving postoperative comfort and recovery for patients undergoing similar surgical procedures.
Eligibility
Inclusion Criteria3
- Patients scheduled for elective open surgery on the thyroid/parathyroid glands with intraoperative neuromonitoring.
- Age ≥18 years.
- Willing and able to provide voluntary informed consent for participation in the study.
Exclusion Criteria3
- Pregnancy (for women of childbearing potential).
- Known allergy to hydrocortisone or lidocaine.
- Refusal to participate in the study.
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Interventions
Endotracheal tubes will be coated with 1% hydrocortisone acetate ointment prior to intubation. The ointment will be applied uniformly to the outer surface of the tube. This intervention aims to reduce postoperative throat inflammation and pain.
Endotracheal tubes will be treated with 0.05% lidocaine hydrochloride solution combined with chlorhexidine (Cathejell). The solution will be applied to the tube surface before intubation to provide local anesthesia and reduce postoperative throat discomfort.
Locations(1)
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NCT07124650