Evidence map›Paper›PMID 31937238›Full record

ArticleBMC anesthesiology2020

Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial.

Yahong Gong, Xiaohan Xu, Jin Wang, Lu Che, Weijia Wang, Jie Yi

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Yahong GongDepartment of Anesthesiology, Peking Union Medical College Hospital (PUMCH), 1 Shuai Fuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China.
Xiaohan XuDepartment of Anesthesiology, Peking Union Medical College Hospital (PUMCH), 1 Shuai Fuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China.
Jin WangDepartment of Anesthesiology, Peking Union Medical College Hospital (PUMCH), 1 Shuai Fuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China.
Lu CheDepartment of Anesthesiology, Peking Union Medical College Hospital (PUMCH), 1 Shuai Fuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China.
Weijia WangDepartment of Anesthesiology, Peking Union Medical College Hospital (PUMCH), 1 Shuai Fuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China.
Jie YiDepartment of Anesthesiology, Peking Union Medical College Hospital (PUMCH), 1 Shuai Fuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China. easyue@163.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSore throat is a remarkable complication after thyroid surgery with endotracheal tube (ETT). Many studies revealed that laryngeal mask airway (LMA) might reduce the incidence and severity of postoperative sore throat. However, little is known about the use of a flexible reinforced LMA (FLMA) in thyroid surgery. The purpose of this study was to explore the potential benefits of FLMA compared with ETT on postoperative sore throat.

methodsIn this prospective, single-blinded, randomized, controlled trial, ninety-six patients aged 20-80 years, scheduled for elective radical thyroidectomy under general anesthesia were enrolled. They were randomly divided into ETT group and FLMA group. All the included patients received total intravenous anesthesia (with propofol, fentanyl and rocuronium) and controlled mechanical ventilation during the surgery. Cuff pressure of ETT and FLMA were strictly controlled. Incidence and severity of postoperative sore throat, numbness and hoarseness at 1, 24, and 48 h after surgery was evaluated and compared between the two groups. Incidence and severity of buckling during extubation and the hemodynamic profile during intubation were also recorded and compared.

resultsThe incidence of sore throat and hoarseness was significantly lower in FLMA group than those in ETT group at 1 h, 24 h and 48 h postoperatively, as well as the severity of sore throat. Compared to ETT group, there was a significantly lower incidence of buckling during extubation and less fluctuation of HR and BP at 1 min and 3 min after intubation in FLMA group.

conclusionsPatients undergoing thyroid surgery with FLMA had less postoperative laryngopharyngeal symptoms when compared with ETT. The use of FLMA also achieved less buckling during extubation and better hemodynamic profiles during intubation.

trial registrationThe research was registered in Chinese Clinical Trial Registry (ChiCTR-IOR-15006602) on May 23th, 2015.

Indexed as

Intubation, IntratrachealLaryngeal MasksAdultAgedAged, 80 and overAirway ExtubationAnesthesia, IntravenousFemaleHemodynamicsHoarsenessHumansIncidenceMaleMiddle AgedPharyngitisPostoperative ComplicationsEndotracheal tubeFlexible laryngeal mask airwayPostoperativeSore throatThyroid surgery

Identifiers

PMID31937238
PMCPMC6961403
OpenAlexW3006555800

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.