Abstract

The physiological act of coughing is the body's natural defense system against foreign materials and aspiration. Even though coughing serves as a beneficial mechanism, there are negative surgical consequences associated with excessive post-extubation coughing, such as severe hypertension, tachycardia, myocardial ischemia, arrhythmias, negative pressure pulmonary edema, surgical site bleeding, and hematoma formation. Intravenous (IV) lidocaine contains chemical properties that attenuate the sympathetic response to intubation. The theory behind the use of IV lidocaine on emergence stems from the idea that if lidocaine can blunt certain side effects during intubation, then lidocaine can attenuate those same effects during emergence and extubation.

Rosalind Benson

Author Details

Rosalind Benson, DNP, RN

Sigma Membership

Non-member

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

N/A

Keywords:

Coughing, Lidocaine, Postoperative Complications

Advisor

Fort, David

Second Advisor

York, Cory

Degree

DNP

Degree Grantor

Samford University

Degree Year

2021

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-03-24

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