Postoperative Sore Throat: Interest of the Videolaryngoscope

Postoperative sore throat is a complication of orotracheal intubation. The aim of our study was to assess the impact of videolaryngoscopy on postoperative sore throat during the first 24 hours following surgery.This was a prospective, randomized study, over a period of 9 months. The investigators included 136 patients with non-difficult airway, classified ASA I to III and over 18 years old. The patients were randomized into 2 groups: the VL group including 70 patients intubated with direct laryngoscopy and the LD group including 66 patients intubated with videolaryngoscopy.

Inclusion Criteria:Patients aged over 18 years old;Patients with ASA status 1, 2 or 3;Patients who underwent surgery with general anaesthesia and intubation;written consent.Exclusion Criteria:Patients under corticosteroids;Pregnant women;Patient with at least two difficult intubation criteria or a limited mouth opening (under 2cm), difficult airway management history, upper airway tumour or cervical rachis trauma;Patients who had an otorhinolaryngologic infection in the last month, an intubation or endoscopy of upper airway in the last 48 hours, vomiting in the last 24 hours, a gastric tube in the last 24 hours or throat symptoms prior to surgery;Patients scheduled for a surgery implying a manipulation of upper airways;Patient scheduled for a surgery > 2 hours.