The effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery: a randomized clinical trial

Abstract Background Postoperative sore throat is a common complication following general anesthesia. This study aimed to investigate the impact of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery. Me...

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Main Authors: Linxin Wang, Fangfang Li, Yuqing Liu, Xingyu Xiong, Qin Qiu, Guanglei Wang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Anesthesiology
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Online Access:https://doi.org/10.1186/s12871-025-02893-7
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author Linxin Wang
Fangfang Li
Yuqing Liu
Xingyu Xiong
Qin Qiu
Guanglei Wang
author_facet Linxin Wang
Fangfang Li
Yuqing Liu
Xingyu Xiong
Qin Qiu
Guanglei Wang
author_sort Linxin Wang
collection DOAJ
description Abstract Background Postoperative sore throat is a common complication following general anesthesia. This study aimed to investigate the impact of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery. Methods The study included 58 patients scheduled for gynecologic laparoscopic surgery at Xuzhou Medical University Affiliated Hospital. Patients were randomly assigned to either the magnesium sulfate group or the control group, with 29 patients in each group. In the magnesium sulfate group, 25% magnesium sulfate was sprayed at a dose of 15 mg/kg on the mucous membrane of the pharynx and posterior wall of the larynx near the glottis using a laryngoscope under visual guidance during intubation; in the control group, an equal volume of normal saline was used instead. The primary outcome measure was the overall incidence of postoperative sore throat 48 h after surgery. Results The overall incidence of postoperative sore throat in the magnesium sulfate group was lower than that in the the control group (20.0% vs. 66.7%, P < 0.001). At time points T1 (P < 0.001), T2 (P = 0.02), and T3 (P = 0.015), the incidence of postoperative sore throat in the the magnesium sulfate group was also lower than that in the the control group. Conclusion This study confirmed that preoperatively spraying magnesium sulfate locally in the Oropharyngeal Region can reduce the frequency and severity of postoperative sore throat. Trial registration The study was registered at Chictr.org.cn with the number ChiCTR2400087240 on 07/23/2024.
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spelling doaj-art-fdefaef2663740fe85906e70eacb04642025-01-12T12:37:03ZengBMCBMC Anesthesiology1471-22532025-01-012511810.1186/s12871-025-02893-7The effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery: a randomized clinical trialLinxin Wang0Fangfang Li1Yuqing Liu2Xingyu Xiong3Qin Qiu4Guanglei Wang5Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical UniversityAbstract Background Postoperative sore throat is a common complication following general anesthesia. This study aimed to investigate the impact of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery. Methods The study included 58 patients scheduled for gynecologic laparoscopic surgery at Xuzhou Medical University Affiliated Hospital. Patients were randomly assigned to either the magnesium sulfate group or the control group, with 29 patients in each group. In the magnesium sulfate group, 25% magnesium sulfate was sprayed at a dose of 15 mg/kg on the mucous membrane of the pharynx and posterior wall of the larynx near the glottis using a laryngoscope under visual guidance during intubation; in the control group, an equal volume of normal saline was used instead. The primary outcome measure was the overall incidence of postoperative sore throat 48 h after surgery. Results The overall incidence of postoperative sore throat in the magnesium sulfate group was lower than that in the the control group (20.0% vs. 66.7%, P < 0.001). At time points T1 (P < 0.001), T2 (P = 0.02), and T3 (P = 0.015), the incidence of postoperative sore throat in the the magnesium sulfate group was also lower than that in the the control group. Conclusion This study confirmed that preoperatively spraying magnesium sulfate locally in the Oropharyngeal Region can reduce the frequency and severity of postoperative sore throat. Trial registration The study was registered at Chictr.org.cn with the number ChiCTR2400087240 on 07/23/2024.https://doi.org/10.1186/s12871-025-02893-7Postoperative sore throatMagnesiumGeneral anesthesiaEndotracheal intubation
spellingShingle Linxin Wang
Fangfang Li
Yuqing Liu
Xingyu Xiong
Qin Qiu
Guanglei Wang
The effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery: a randomized clinical trial
BMC Anesthesiology
Postoperative sore throat
Magnesium
General anesthesia
Endotracheal intubation
title The effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery: a randomized clinical trial
title_full The effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery: a randomized clinical trial
title_fullStr The effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery: a randomized clinical trial
title_full_unstemmed The effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery: a randomized clinical trial
title_short The effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery: a randomized clinical trial
title_sort effect of preoperative topical magnesium sulfate spraying in the oropharyngeal region on postoperative sore throat following gynecological laparoscopic surgery a randomized clinical trial
topic Postoperative sore throat
Magnesium
General anesthesia
Endotracheal intubation
url https://doi.org/10.1186/s12871-025-02893-7
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