Summary of the best evidence for prevention and management of sore throat after general anesthesia in adult patients
10.3760/cma.j.cn115682-20211204-05478
- VernacularTitle:成人患者全麻术后咽喉痛预防及管理的最佳证据总结
- Author:
Jing YAN
1
;
Xiangfeng CHEN
;
Hui HUANG
;
Yusu LI
;
Mu SHEN
;
Wei DENG
Author Information
1. 苏州大学附属第二医院神经外科重症监护室，苏州 215004
- Keywords:
Adults;
General anesthesia;
Airway complications;
Pharyngitis;
Postoperative sore throat;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2022;28(32):4456-4462
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically retrieve and evaluate the relevant literature on the management of postoperative sore throat (POST) in adult patients under general anesthesia at home and abroad, comprehensively summarize and form the best practice evidence, so as to provide evidence-based basis for clinical workers to implement POST management in adult patients after general anesthesia.Methods:All evidence on postoperative sore throat in adults undergoing general anesthesia was searched from domestic and foreign databases and professional association websites including BMJ Best Practice, Up To Date, Joanna Briggs Institute (JBI) Evidence-based Health Care Center database, National Guideline Clearinghouse (NGC) , Guidelines International Network (GIN) , Registered Nurses' Association of Ontario (RNAO) , Cochrane Library, PubMed, Embase, CINAHL, China National Knowledge Infrastructure, Wanfang Database, China Biology Medicine disc, Australian and New Zealand College of Anaesthetists and American Society of Anesthesiologists. The searched evidence included best practice, evidence summaries, guidelines, systematic review, expert consensuses and original study. The search time limit was from the establishment of the database to April 30, 2021. Two researchers who had systematically learned evidence-based nursing independently evaluated the quality of the included literature and extracted and summarized the evidence of the literature that met the quality criteria.Results:Totally 20 pieces of literature were included, including 2 clinical decisions, 1 evidence summary, 1 guideline, 4 expert consensuses, 7 systematic reviews, 5 randomized controlled trails. Finally, totally 24 pieces of best evidence were summarized from 4 aspects on identification and assessment of POST, artificial airway management, pharmacological interventions, non-pharmacological interventions and multidisciplinary management.Conclusions:Clinicians should pay attention to and strengthen the management of POST in adult patients with general anesthesia. When selecting the application of relevant evidence, they should fully consider the actual clinical situation, the promoting factors and hindering factors of evidence implementation and the willingness of patients, so as to determine the best implementation plan, alleviate the POST of patients with general anesthesia and improve the quality of nursing.
