Evidence map›Paper›PMID 34162330›Full record

Trial reportBMC anesthesiology2021

Effects of head positions on awake fiberoptic bronchoscope oral intubation: a randomized controlled trial.

Zhuo Liu, Li Zhao, Zhongfeng Ma, Meiqi Liu, Xiaohang Qi, Qianqian Jia, Shujuan Liang, Xiaochun Yang

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02792855 (Randomized Study Comparing the "sniffing Position" , "Simple Head Extension" and "Neutral Position" for Awake Orotracheal Intubation With Fiberoptic in Anticipate Difficult Airway Patients), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT02792855 nacompletednot on this map

Randomized Study Comparing the "sniffing Position" , "Simple Head Extension" and "Neutral Position" for Awake Orotracheal Intubation With Fiberoptic in Anticipate Difficult Airway Patients

TypeinterventionalSponsorThe First Hospital of QinhuangdaoRan2017 to 2020Enrolled75ConditionsTherapeutic Procedural ComplicationArmssniffing Position(place a 7-cm cushion under head ), Simple Head Extension(without cushion)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

8 authors at 1 institution in 1 country.

Zhuo LiuDepartment of Anesthesiology, the First hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China. liuzhuo2011@yeah.net.ORCID 0000-0003-2449-9697
Li ZhaoDepartment of thoracic surgery, the First hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China.
Zhongfeng MaDepartment of general surgery, the First hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China.
Meiqi LiuDepartment of Anesthesiology, the First hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China.
Xiaohang QiDepartment of Anesthesiology, the First hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China.
Qianqian JiaDepartment of Anesthesiology, the First hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China.
Shujuan LiangDepartment of Anesthesiology, the First hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China.
Xiaochun YangDepartment of Anesthesiology, the First hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China.
First Hospital of Qinhuangdao · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are many factors affecting the success rate of awake orotracheal intubation via fiberoptic bronchoscope. We performed this study was to investigate the effects of head positions on awake Fiberoptic bronchoscope oral intubation.

methodsSeventy-five adult patients, received general anaesthesia were included in this study. After written informed consent, these patients were undergoing awake orotracheal intubation via fiberoptic-bronchoscope and according to the head position, the patients were randomized allocated to neutral position group (NP group), sniffing position group (SP group) or extension position group (EP group). After sedation the patients were intubated by an experienced anesthesiologist. The time to view the vocal cords, the percentage of glottic opening scores (POGO), the time to insert the tracheal tube into trachea and the visual analog scale (VAS) scores for ease experienced of passing the tracheal tube through glottis, the hemodynamic changes and the adverse events after surgery were recorded.

resultsThe time to view the vocal cords was significantly shorter and the POGO scores was significantly higher in the EP group compared with the other two groups (P < 0.05); The SpO

conclusionsThe head at extension position had a best view of glottic opening than neutral position or sniffing position during awake Fiberoptic bronchoscope oral intubation, so extension position was recommended as the starting head position for awake Fiberoptic bronchoscope oral intubation.

trial registrationClinical Trials.gov. no. NCT02792855. Registered at https://register.clinicaltrials.gov on 23 september 2017.

Indexed as

Patient PositioningAdultAnesthesia, GeneralBronchoscopesBronchoscopyFemaleFiber Optic TechnologyHumansIntubation, IntratrachealMaleMiddle AgedWakefulnessAwake orotracheal intubationFiberoptic-bronchoscopeHead positions

Identifiers

PMID34162330
PMCPMC8220748
OpenAlexW3173771283

What OpenQuestion holds

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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.