Evidence map›Paper›PMID 37798734›Full record

Trial reportBMC anesthesiology2023

Effect of superior laryngeal nerve block in alleviating sore throat after application of i-gel supraglottic airway: a randomized controlled trial.

Zhu Lv, Xinyi Huang, Jinxia Cai, Zijun Zhou, Linglin Gao, Weijian Wang, Jiehao Sun, Yizhao Pan

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. 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.

Zhu Lv *Department of Anesthesiology, 1st affiliated hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xinyi Huang *Department of Anesthesiology, 1st affiliated hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jinxia Cai *Department of Anesthesiology, 1st affiliated hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zijun ZhouDepartment of Anesthesiology, 1st affiliated hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Linglin GaoDepartment of Anesthesiology, 1st affiliated hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Weijian WangDepartment of Anesthesiology, 1st affiliated hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. wangwj2002@163.com.
Jiehao SunDepartment of Anesthesiology, 1st affiliated hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. sun_jiehao88@126.com.
Yizhao PanDepartment of Anesthesiology, 1st affiliated hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. panyizhao111@163.com.
Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative sore throat (POST) is a common complaint after supraglottic airway device (SAD) application. Internal branch of the superior laryngeal nerve (iSLN) block has the potential to alleviate POST. The aim of this trial was to explore the effect of iSLN block in alleviating sore throat, as well as to identify the potential risk factors for POST after SAD insertion.

methodsOne hundred thirty-four patients scheduled for elective gynecological surgery were randomized to either group T: tetracaine syrup (1%) for local lubrication on i-gel supraglottic device (n = 67) or group B: i-gel insertion with water based lubricant on it and followed by bilateral iSLN block (ropivacaine, 0.375%, 2 ml for each side) (n = 67). Under ultrasound guidance, iSLN was exposed below thyrohyoid membrane. The primary outcome was the intensity of sore throat at 6 h after surgery. In addition, POST score at 0.5 h and 24 h, the severity of postoperative swallowing discomfort, acoustic analysis and complications were measured.

resultsCompared with tetracaine syrup for local lubrication, iSLN block resulted in a reduced intensity of POST at 0.5 h (P = 0.044, OR = 1.99, 95%CI 1.02 to 3.88) and 6 h (P < 0.001, OR = 5.07, 95%CI 2.53 to 10.14) after surgery, as well as less severity of swallowing discomfort (P < 0.001, OR = 2.21, 95%CI 1.63 to 2.99) and cough (P = 0.039, OR = 1.97, 95%CI 1.04 to 3.73). The patients after iSLN block presented lower jitter and shimmer value in acoustic analysis at 6 h after surgery (P < 0.001).

conclusionsiSLN block was effective in alleviating POST, improving voice function, as well as reducing postoperative swallowing discomfort and coughing.

trial registrationChinese Clinical Trial Registry (ChiCTR2000037974) on 8th Sept 2020.

Indexed as

Anesthesia, ConductionLaryngeal NervesPharyngitisHumansIntubation, IntratrachealNerve BlockPostoperative ComplicationsTetracaineTreatment OutcomeTetracainei-gelPostoperative sore throatSuperior laryngeal nerve blockSupraglottic airway device

Identifiers

PMID37798734
PMCPMC10552282
OpenAlexW4387373023

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.