Evidence map›Paper›PMID 37957962›Full record

ArticleHealthcare (Basel, Switzerland)2023

Awake Nasal Fiberoptic Intubation in Lateral Position for Severely Obese Patients with Anticipated Difficult Airway: A Randomized Controlled Trial.

Omar Ababneh, Isam Bsisu, Ahmad I El-Share', Mustafa Alrabayah, Ibraheem Qudaisat, Subhi Alghanem, Lubna Khreesha, Amani Mohamed Ali, Mohammad Rashdan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06459167 (Position Intervention to Reduce Hypoxemia in Sedation Patients), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT06459167 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Position Intervention to Reduce Hypoxemia in Sedation Patients

TypeinterventionalSponsorFirst Affiliated Hospital of Zhejiang UniversityRan2024 to 2026Enrolled1,752ConditionsHypoxemia, Sedation Complication, Emergencies, Airway RemodelingArmsThe position adopted when patients undergoing procedure or surgery
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 5 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

9 authors at 2 institutions in 1 country.

Omar AbabnehDepartment of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman 11942, Jordan.ORCID 0000-0001-5447-4648
Isam BsisuDepartment of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman 11942, Jordan.ORCID 0000-0002-8999-8334
Ahmad I El-Share'Department of Anesthesia and Pain Management, King Hussein Cancer Center, Amman 11941, Jordan.ORCID 0000-0003-0878-4666
Mustafa AlrabayahDepartment of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman 11942, Jordan.ORCID 0000-0001-6390-4080
Ibraheem QudaisatDepartment of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman 11942, Jordan.
Subhi AlghanemDepartment of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman 11942, Jordan.
Lubna KhreeshaDepartment of Special Surgeries, School of Medicine, The University of Jordan, Amman 11942, Jordan.ORCID 0000-0001-6465-8424
Amani Mohamed AliDepartment of Undergraduate Studies, School of Medicine, The University of Jordan, Amman 11942, Jordan.
Mohammad RashdanDepartment of General Surgery, School of Medicine, The University of Jordan, Amman 11942, Jordan.ORCID 0000-0003-4518-1573
University of Jordan · JOKing Hussein Cancer Center · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a well-recognized risk factor for difficult intubation. To safely manage and overcome airway challenges in severely obese patients with a suspected difficult airway, awake fiberoptic intubation is recommended. We aimed to investigate the utility of awake nasal fiberoptic intubation in severely obese patients with suspected difficult airway while positioning them in the lateral decubitus position.

methodsThis randomized controlled trial compared lateral and supine positions for awake nasal fiberoptic intubation in severely obese patients with an anticipated difficult airway by assessing the success rate, time needed to secure the airway, peri-procedural adverse events, and postoperative satisfaction of patients.

resultsSixty patients with a median age of 37 [inter-quartile range (IQR): 29-44] years were included, of which 47 (78.3%) were females. The median body mass index (BMI) was 45.5 [IQR: 42.5-50.8] kg/m

conclusionsIn conclusion, Intubation in the lateral position is a promising technique that is equivalent to the routine supine position during fiberoptic intubation. In fact, intubation in the lateral position took less time to successfully secure the airway.

Indexed as

anesthesiologyinstrumentationintubationobesity

Identifiers

PMID37957962
PMCPMC10649994
OpenAlexW4387903033

What OpenQuestion holds

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LicenceCC BY
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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.