Treatment of Postoperative Sore Throat With the Aid of the Homeopathic Remedy <i>Arnica montana</i>: A Report of Two Cases

Tsintzas, Dionysis; Vithoulkas, George

doi:10.1177/2156587217735986

Cited by 7 publications

(2 citation statements)

References 15 publications

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“…Out of all, a single patient experienced mild itching and rash which resolved during the study follow-up duration. A recent study reported a faster resolution of postoperative sore throat, dysphagia, aphonia, and hoarseness in 2 patients following laryngeal mask insertion [ 26 ]. Both patients were treated with 3 doses of AM and reported symptoms resolution within 36 hours.…”

Section: Discussionmentioning

confidence: 99%

Systemic Use of Arnica Montana for the Reduction of Postsurgical Sequels following Extraction of Impacted Mandibular 3rd Molars: A Pilot Study

Mawardi

Ghazalh

Shehatah

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Background. Postsurgical sequels (PSS) are a group of complications commonly encountered following invasive dental surgical procedures such as bone grafting procedures, external sinus grafting, and 3rd molar extractions. These include pain, intraoral and extraoral bruising, and edema. The aim of this study is to evaluate the clinical efficacy of arnica montana (AM) in the management of PSS following extraction of impacted mandibular 3rd molars. The investigators null hypothesis includes no significant role of AM in reducing PSS following dental extraction. Materials and Methods. The investigators implemented a case-control pilot study enrolling twenty-three patients with impacted mandibular 3rd molars. These patients were allocated to AM or control group. Baseline clinical measurements were collected and included: (1) length of the surgical procedure, (2) pain score, (3) maximum mouth opening, and (4) facial measurements to evaluate edema levels. Subjects in active group received systemic AM tablets following the manufacturer instructions. All study subjects were followed up on Days 2, 4, and 7. Data was analyzed for statistical significance. Results. A total of 30 impacted mandibular 3rd molars were extracted, in which 22 completed with AM. There were 16 females, and the average age was 26 years. On Day 2, subjects in the AM group reported significantly lower VAS compared to control group (3.09 ± 2.22 versus 4.75 ± 1.28). In addition, bleeding, extraoral bruising, edema, and decrease in maximum mouth opening were significantly less reported in the AM group. Conclusions. This study describes the potential benefit of AM in reducing PSS following dental extractions.

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Section: Discussionmentioning

confidence: 99%

Systemic Use of Arnica Montana for the Reduction of Postsurgical Sequels following Extraction of Impacted Mandibular 3rd Molars: A Pilot Study

Mawardi

Ghazalh

Shehatah

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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“…During awake airway removal, a patient can move their head and neck and cough, which can lead to postoperative sore throat (POST). 40 POST, in turn, can affect eating behaviors depending on its severity, 41,42 while EA usually happens after the patient wakes up from the anesthesia. There were two limitations to this outcome assessment.…”

Section: Discussionmentioning

confidence: 99%

Is Emergence Time Related to Emergence Agitation in Pediatric Patients?

pattaravit¹,

Karnjanawanichku²,

Siripruekpong³

et al. 2020

Preprint

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Background: Emergence agitation is one of the unpleasant symptoms after general anesthesia, especially in pediatric patients. This study was designed to evaluate the correlation between emergence time and emergence agitation. The predictors associated with emergence agitation and behavioral changes in children was also determined as specific outcomes.Methods: This prospective cohort study was conducted in children undergoing anesthesia between 3 to 12 years. The preoperative unit nurse evaluated the child's baseline behaviors preoperatively. From pre to post anesthesia period, nurse anesthetist recorded anesthetic management data and clinical emergence time. Meanwhile, the investigator team recorded the Processed-EEG emergence time. At the Post-Anesthetic Care Unit (PACU), the well trained PACU nurse evaluated clinical emergence time and emergence symptoms. For the behavioral symptoms, the investigator team evaluated any changes by telephone interview at postoperative days 1, 3, and 7. Statistical significance was set at p <0.05. Results: Ninety-one pediatric patients were enrolled in the study. Preoperative baseline behaviors were not related to emergence agitation or behavioral changes. There were correlations between clinical emergence time and the incidences of emergence agitation and postoperative separation anxiety. There was no relationship found between processed-EEG emergence time and the incidence of emergence agitation. Multivariate logistic regression analysis showed the significant predictors (ASA physical status, clinical emergence time, and pain) to predict Emergence agitation. (AUC=0.92, sensitivity = 0.89, specificity 0.81). Separation anxiety was significantly higher at postoperative days 1,3 and 7 in the children with emergence agitation (p-values = 0.020, 0.020, and 0.017, respectively).Conclusion: Clinical emergence time significantly related to emergence agitation and postoperative separation anxiety.Trial registration: ClinicalTrials.gov Identifier: NCT03358069. Registered 18 January 2017 - Retrospectively registered, https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S0007IOW&selectaction=Edit&uid=U0001FGB&ts=2&cx=-7ofx36

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