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Comparison between supraglottic airway devices and endotracheal tubes in patients undergoing laparoscopic surgery
| Content Provider | Semantic Scholar |
|---|---|
| Author | Park, Sun Kyung A. Ko, Geum Choi, Geun Joo Ahn, Eun Jin Kang, Hyun |
| Copyright Year | 2016 |
| Abstract | BACKGROUND Comparisons between the efficacies of supraglottic airway devices (SGAs) and endotracheal tubes (ETTs) in patients undergoing laparoscopic surgeries have yielded conflicting results. Therefore, in this meta-analysis, we compared the clinical performance and incidence of complications between SGAs and ETT intubation in laparoscopic surgery. METHODS A comprehensive search was conducted using MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, and Google Scholar to identify randomized controlled trials that compared SGAs with ETTs in laparoscopic surgery. RESULTS In total, 1433 patients from 17 studies were included in the final analysis. SGAs and ETTs showed no difference in insertion success rate on the first attempt (relative risk [RR] 1.01, 95% confidence interval [CI] 0.99-1.03), insertion time (standardized mean difference 1.57, 95% CI -3.74 to 0.61), and oropharyngeal leak pressure (OLP) (mean difference -2.54, 95% CI -7.59 to 2.50). The incidence of desaturation (RR 3.65, 95% CI 1.39-9.62), gastric insufflations (RR 0.90, 95% CI 0.48-1.71), regurgitation (RR 0.98, 95% CI 0.02-49.13), and aspiration (RR 0.99, 95% CI 0.01-78.4) also showed no intergroup differences. However, the incidence of laryngospasm (RR 3.12, 95% CI 1.29-7.52), cough at removal (RR 6.68, 95% CI 4.70-9.48), dysphagia (RR 1.47, 95% CI 1.12-1.95) or dysphonia (RR 4.41, 95% CI 1.25-15.55), sore throat (RR 1.60, 95% CI 1.33-1.93), and hoarseness (RR 1.53, 95% CI 1.29-1.81) was higher in the ETT group than in the SGA group. CONCLUSIONS The incidence of laryngospasm, cough at removal, dysphagia or dysphonia, sore throat, and hoarseness were higher in the ETT group than in the SGA group. However, the groups showed no differences in the rate of insertion success on the first attempt, insertion time, OLP, and other complications. Therefore, SGAs might be clinically more useful as effective airways in laparoscopic surgery. |
| Starting Page | 1173 |
| Ending Page | 1179 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 27537593 |
| Alternate Webpage(s) | https://doi.org/10.1097/MD.0000000000004598 |
| DOI | 10.1097/md.0000000000004598 |
| Journal | Medicine |
| Volume Number | 95 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Apnea Clinical act of insertion Confidence Intervals Coughing Deglutition Disorders Dysphonia Endotracheal tube Hoarseness Insertion Mutation Insufflation Intubation Laryngismus Operative Surgical Procedures Oropharyngeal disorders Patients Pharyngitis Regurgitation Sore to touch Stomach Neoplasms Surgical Procedures, Laparoscopic biomedical tube device |
| Content Type | Text |
| Resource Type | Article |
