An interventional study of Throat Pack and Pharyngeal Tampons in Pain, Postoperative Pain and Bleeding, sponsored by King Hamad University Hospital, Bahrain. Completed at 1 site in Bahrain. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-10-22.
Sponsored by King Hamad University Hospital, Bahrain · Not applicable, Interventional, and Treatment
Post-operative, throat pain, nausea and vomiting is a common occurrence in rhinology surgeries due to the use of throat packs during the procedure. In order to optimize quality of care and patient satisfaction, the aim of this study to evaluate the incidence of post-operative, throat pain, nausea and vomiting in patients that have been packed with either conventional gauze throat packs or pharyngeal tampons.
The nose and para nasal sinuses are anatomically known to be highly vascular and a substantial amount of bleeding is expected from rhinology surgeries, ingested blood is known to be a power full emetic, and the risk aspiration of blood is present due to the fact that an endotracheal tube is not 100% effective in protecting the airway. Post-operative nausea and vomiting is a frequent problem that is encountered in surgical patients with a 4th to 6th fold increase in nasal and endoscopic sinus operations.
Posterior throat pack is an often-used in rhinology surgery, it is said to help in protecting the air way against aspiration and also helps in the reduction of post-operative nausea and vomiting, however many studies concluded that posterior throat pack is associated with higher amount of post-operative pain, nausea,, vomiting and in some rare cases even forgotten in the patient leading to mortality. However, despite poor evidence the placement of posterior throat packs is commonly practiced by surgeons and anesthetists because the possible risk of aspiration is worrisome to the latter and the former.
A conventional throat pack consists of gauze, but an alternative practice involves the pharyngeal placement of tampons. In Marais and Prescott posterior pharyngeal placement of tampons is associated with a decrease amount of post-operative throat pain, when compared to conventional gauze throat packs, however they did not compare the incidence of post-operative nausea and vomiting in both groups.
5,640 studies on the registry are indexed under Pain, Postoperative; 1,230 are open to participants now.
This study's enrollment of 86 is above the median of 75 across 4,821 interventional studies indexed under Pain, Postoperative.
Browse Pain, Postoperative studies →King Hamad University Hospital, Bahrain is the lead sponsor of 9 studies on the registry; 1 is open to participants now.
Compared within Pain, Postoperative, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Pain. The counts are of registry records indexed under each term, refreshed daily. How we classify →
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Exclusion Criteria:
Standard care (Throat pack) which will be used as a control.
Other: Throat Pack
Pharyngeal tampons which will be used as a comparator against throat pack.
Other: Pharyngeal Tampons
Post rhinology surgery throat packs will be used as a control to compare against the intervention (Pharyngeal tampons)
Also known as: Control
Post rhinology surgery Pharyngeal Tampons will be used as an intervention to compare against the throat pack (control)
Also known as: Intervention
Comparison of postoperative throat pain using the visual analogue scale (VAS)
Evaluation of postoperative pain between pharyngeal tampons and controls using the Visual Analogue scale. A value of 0 is the lowest value and indicates the patient is pain free. And a score of 10 is the maximum value which indicates extreme pain on the scale.
Time frame: 2 years
postoperative throat bleed
Evaluation of postoperative bleeding in patients using pharyngeal tampons vs control
Time frame: 2 years
Postoperative recovery
Assess the postoperative symptom recovery
Time frame: 2 years
Plan to share: Undecided
This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.
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King Hamad University Hospital, Bahrain