Evidence map›Paper›PMID 31170926›Full record

Trial reportBMC anesthesiology2019

Comparison of standard versus 90° rotation technique for LMA Flexible™ insertion: a randomized controlled trial.

Bon-Wook Koo, Ah-Young Oh, Jung-Won Hwang, Hyo-Seok Na, Seong-Won Min

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03028896 (Comparison of Standard Versus 90° Rotation Technique for LMA FlexibleTM Insertion), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03028896 nacompletednot on this map

Comparison of Standard Versus 90° Rotation Technique for LMA FlexibleTM Insertion

TypeinterventionalSponsorSeoul National University Bundang HospitalRan2015 to 2017Enrolled132ConditionsLaryngeal MasksArms90° rotational technique
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. A Prospective Randomized Study for the Placement of Flexible Laryngeal Airway Mask with Two-Step of Jaw-Thrust Technique by Both Hands for Adults.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bon-Wook KooDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 137-82 Gumi-ro, Bundang-gu, Sungnam-si, Gyeonggi-do, 463-707, South Korea.
Ah-Young OhDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 137-82 Gumi-ro, Bundang-gu, Sungnam-si, Gyeonggi-do, 463-707, South Korea. oay1@snubh.org.ORCID 0000-0002-3659-6171
Jung-Won HwangDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 137-82 Gumi-ro, Bundang-gu, Sungnam-si, Gyeonggi-do, 463-707, South Korea.
Hyo-Seok NaDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 137-82 Gumi-ro, Bundang-gu, Sungnam-si, Gyeonggi-do, 463-707, South Korea.
Seong-Won MinDepartment of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsertion of a flexible laryngeal mask airway (LMA Flexible) is known to be more difficult than that of a conventional laryngeal mask airway. The 90° rotation technique can improve the success rate with a conventional laryngeal mask airway but its effect with the LMA Flexible remains unknown. We assessed whether the 90° rotation technique increased the first-attempt success rate of LMA Flexible insertion versus the standard technique.

methodsIn total, 129 female patients undergoing breast surgery were analyzed. The primary endpoint was success at the first attempt. The insertion time, number of trials, number of manipulations required, and oropharyngeal leak pressure were also evaluated. Heart rate and mean blood pressure were recorded 1 min before and 1 min after insertion. Blood staining on the LMA Flexible after removal and postoperative sore throat were checked.

resultsThe first-attempt success rates were comparable between the groups (93% vs. 98.3%, P = .20). The insertion time, number of trials and manipulations, hemodynamic variables, and complications, such as blood staining and sore throat, did not differ between the groups.

conclusionsThe 90° rotation technique is a good alternative to the standard technique for insertion of the LMA Flexible.

trial registrationClinicalTrials.gov ( NCT03028896 ). It was registered retrospectively at Jan 19th, 2017.

Indexed as

Laryngeal MasksRotationAdultAnesthesia, GeneralBreastElective Surgical ProceduresEquipment DesignFemaleFollow-Up StudiesHumansIntubation, IntratrachealMiddle AgedPharyngitisRetrospective StudiesLMA flexible

Identifiers

PMID31170926
PMCPMC6555754

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.