Evidence map›Paper›PMID 39406569›Full record

SynthesisBritish journal of anaesthesia2024

Choice of supraglottic airway devices: a network meta-analysis of randomised controlled trials.

Muthuraj Kanakaraj, Adithya D Bhat, Narinder P Singh, Sennaraj Balasubramanian, Abhay Tyagi, Rohan Aathreya, Preet M Singh

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Performance of the new Laryngeal Tube LTInternational journal of emergency medicine · 2026
    Article
  7. Observational
  8. Article
  9. Observational
  10. Randomized Prospective Comparison of the SingularityJournal of clinical medicine · 2025
    Article
  11. Article
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  13. 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.

Muthuraj KanakarajWashington University in Saint Louis, Anaesthesiology Barnes Jewish Hospital, Saint Louis, MO, USA.
Adithya D BhatDepartment of Anaesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Narinder P SinghDepartment of Anesthesiology, Mount Sinai Hospital, Toronto, ON, Canada.
Sennaraj BalasubramanianWashington University in Saint Louis, Anaesthesiology Barnes Jewish Hospital, Saint Louis, MO, USA.
Abhay TyagiDepartment of Anesthesiology, St Elizbeth's Medical Center, Boston University School of Medicine, Boston, MA, USA.
Rohan AathreyaDepartment of Biological Sciences, Washington University School of Medicine in St. Louis, MO, USA.
Preet M SinghWashington University in Saint Louis, Anaesthesiology Barnes Jewish Hospital, Saint Louis, MO, USA. Electronic address: singh.p@wustl.ed.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the last two decades, significant research interest has led to the development of a wide variety of supraglottic airways (SGAs) for anaesthesia providers to choose from.

methodsIn this network meta-analysis, we analysed 111 studies, enrolling 12 045 patients undergoing airway management with 29 SGAs. We targeted outcomes that contribute to clinicians' choice of one SGA over another. The primary outcome was the incidence of postoperative sore throat (POST). Secondary outcomes were first-attempt insertion success, bleeding complications, and oropharyngeal leak pressure (OLP). Based on credible intervals, we created a 'rank order' to guide decision-making for clinicians.

resultsThe highest-ranking devices based on credible intervals for POST, bleeding complications, first-attempt insertion success, and OLP were LMA Ambu, Jcerity Endoscoper, LMA Blockbuster, and LMA Baska Mask, respectively. Air-Q and i-gel ranked favourably across multiple outcomes, with i-gel being the only device to rank within the top six SGAs for POST, bleeding, and first-attempt success despite ranking poorly for OLP.

conclusionsOur data support the use of LMA-Ambu, Jcerity-Endoscoper, Air-Q, and i-gel when considering patient-centred outcomes. Clinician familiarity with these devices and their continued expansion into anaesthetic practice will have important implications on the perioperative patient experience. SYSTEMATIC REVIEW PROTOCOL: PROSPERO (CRD42022383136).

Indexed as

Airway ManagementLaryngeal MasksRandomized Controlled Trials as TopicEquipment DesignHumansIntubation, IntratrachealPharyngitisbleeding supraglottic airwaycomparison supraglottic devicesleak pressuresuccess rate supraglottic airwaysupraglottic devices sore throat

Identifiers

PMID39406569
PMCPMC11589487

What OpenQuestion holds

Textmetadata
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.