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Abstract ABSTRACT Background: Nasogastric (NG) tube insertions are frequent medical procedures. Most of the time, the oropharyngeal discomfort is usually underestimated, and insertions are carried out with just regular lubricant jelly and no additional painkillers, which results in suboptimal pain management. Objective: Comparing effectiveness of nebulized ketamine & dexamethasone in treating post-operative sore throat following NG tube insertion in laparoscopic surgery. Methods: This prospective randomized double-blind controlled research had been carried on 108 studied cases of both sexes with ASA physical status I-II aged20 - 60years undergoing laparoscopic abdominal surgeries under general anesthesia. Patients had been randomized into3 equal groups. group D received a dose of 8 mg nebulized dexamethasone. group K received 50 mg nebulized ketamine. group S received 5 ml of nebulized saline. Results: incidence of (POST) had been lower with both nebulized dexamethasone and nebulized ketamine compared with nebulized saline and significantly lower with dexamethasone compared with ketamine at 0hours (p<0.001), 2hours (p<0.001), 8hours (p<0.001), 12hours (p<0.001), & 24hours (p<0.001). Conclusion: Preoperative nebulized dexamethasone was more effective than nebulized ketamine in reducing POST following NG tube insertion in laparoscopic surgery. |