Evidence map›Paper›PMID 38225533›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2024

Laryngeal mask airway versus endotracheal intubation as general anesthesia airway managements for atrial fibrillation catheter ablation: a comparative analysis based on propensity score matching.

Naidong Pang, Feifei Pan, Ruizhe Chen, Binghang Zhang, Zhen Yang, Min Guo, Rui Wang

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Clinical advantage of laryngeal mask airway over conventional endotracheal intubation during pulmonary vein isolation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    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

7 authors at 1 institution in 1 country.

Naidong PangShanxi Medical University, Taiyuan, Shanxi, China.ORCID http://orcid.org/0000-0002-6843-9867
Feifei PanDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Ruizhe ChenShanxi Medical University, Taiyuan, Shanxi, China.
Binghang ZhangShanxi Medical University, Taiyuan, Shanxi, China.
Zhen YangShanxi Medical University, Taiyuan, Shanxi, China.
Min GuoDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Rui WangDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. wangrui_sxmu@163.com.ORCID http://orcid.org/0000-0002-1711-2434
Shanxi Medical University · CN

Funding

National Natural Science Foundation of China 82000426Natural Science Foundation of Shanxi Province 201801D121222Natural Science Foundation of Shanxi Province 201801D121337
6 · The paper itself

Abstract

backgroundThe current evidence on the use of laryngeal mask airway (LMA) as an airway management technique for general anesthesia (GA) during atrial fibrillation (AF) catheter ablation (CA) is insufficient. This study aims to compare the feasibility, safety, and clinical benefits of LMA and endotracheal intubation (ETI) for airway management in AF CA.

methodsOne hundred fifty-two consecutive patients with AF who underwent CA under GA were included and divided into two groups based on different airway management methods (66 in the LMA group, 86 in the ETI group). After propensity score matching, a final analysis cohort of 132 patients was obtained to compare procedural parameters, adverse events, and prognosis between the two groups.

resultsThe LMA group exhibited significantly shorter total procedural time (p = 0.039), anesthesia induction time (p = 0.015), and recovery time (p = 0.006) compared to the ETI group. The mean arterial pressure (MAP) and heart rate were significantly lower in the LMA group during extubation and 1-min post-extubation (p < 0.05). Furthermore, the LMA group demonstrated lower MAP levels during intubation (p = 0.029). The incidences of intraoperative hypotension (p = 0.017) and bradycardia (p = 0.032) were significantly lower in the LMA group. The incidences of delayed recovery or delirium (p = 0.027), laryngeal or airway injury (p = 0.016), cough or bucking (p = 0.001), and sore throat (p < 0.001) were significantly lower in the LMA group. There were no statistically significant differences in catheter stability parameters and sinus rhythm maintenance rates between the two groups (p > 0.05).

conclusionLMA is feasible, safe, and effective in AF CA as an optimized airway management technique for GA.

Indexed as

Airway ManagementAnesthesia, GeneralAtrial FibrillationCatheter AblationIntubation, IntratrachealLaryngeal MasksPropensity ScoreAgedFeasibility StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAtrial fibrillationCatheter ablationEndotracheal intubationGeneral anesthesiaLaryngeal mask airway

Identifiers

PMID38225533
OpenAlexW4390892830

What OpenQuestion holds

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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.