Detecting Oropharyngeal and Esophageal Emptying by Submental Ultrasonography and High-Resolution Impedance Manometry: Intubated vs. Non-Intubated Video-Assisted Thoracoscopic Surgery.

Chih-Jun Lai, Jin-Shing Chen, Shih-I Ho, Zhi-Yin Lu, Yi-Ju Huang, Ya-Jung Cheng

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Article in Diagnostics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors at 2 institutions in 1 country.

Chih-Jun LaiInstitute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei 100025, Taiwan.

Jin-Shing ChenDepartment of Surgery, National Taiwan University Cancer Center, National Taiwan University College of Medicine, Taipei 106037, Taiwan.

Shih-I HoDepartment of Anesthesiology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei 100225, Taiwan.

Zhi-Yin LuDepartment of Anesthesiology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei 100225, Taiwan.

Yi-Ju HuangDepartment of Anesthesiology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei 100225, Taiwan.

Ya-Jung ChengDepartment of Anesthesiology, College of Medicine, National Taiwan University, Taipei 100233, Taiwan.

National Taiwan University · TWNational Taiwan University Hospital · TW

Funding

Ministry of Science and Technology 107-2314-B-002 -071 -MY2National Taiwan University Hospital 109-20

6 · The paper itself

Abstract

Postoperative swallowing, affected by general anesthesia and intubation, plays an important part in airway and oral intake safety regarding effective oropharyngeal and esophageal emptying. However, objective evidence is limited. This study aimed to determine the time required from emergence to effective oropharyngeal and esophageal emptying in patients undergoing non-intubated (N) or tracheal-intubated (I) video-assisted thoracoscopic surgery (VATS). Hyoid bone displacement (HBD) by submental ultrasonography and high-resolution impedance manometry (HRIM) measurements were used to assess oropharyngeal and esophageal emptying. HRIM was performed every 10 min after emergence, up to 10 times. The primary outcome was to determine whether intubation affects the time required from effective oropharyngeal to esophageal emptying. The secondary outcome was to verify if HBD is comparable to preoperative data indicating effective oropharyngeal emptying. Thirty-two patients suitable for non-intubated VATS were recruited. Our results showed that comparable HBDs were achieved in all patients after emergence. Effective esophageal emptying was achieved at the first HRIM measurement in 11 N group patients and 2 I group patients (

Indexed as

anesthesiaendotracheal intubationesophageal emptyinghigh-resolution impedance manometryoropharyngeal emptyingswallowingvideo-assisted thoracosopic surgery

Identifiers

PMID33322685

DOI10.3390/diagnostics10121079

PMCPMC7763338

OpenAlexW3111047775

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LicenceCC BY

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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.