Evidence map›Paper›PMID 40391808›Full record

Trial reportANZ journal of surgery2025

Impact of Chilled Versus Room Temperature Saline on Procedure Time and Postoperative Outcomes Following Coblation Intracapsular Tonsillectomy and Adenoidectomy in Children With Sleep Disordered Breathing: A Randomised Control Trial.

James Fowler, Nishan Chahal, Hamish Mckenzie, A Simon Carney

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in ANZ journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

4 authors.

James FowlerCollege of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.ORCID 0009-0005-9137-436X
Nishan ChahalCollege of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.
Hamish MckenzieCollege of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.
A Simon CarneyCollege of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.ORCID 0000-0001-7507-7983

Funding

Flinders University
6 · The paper itself

Abstract

backgroundUsing chilled saline as a medium for Coblation has been shown to reduce post-operative pain in both paediatric and adult extracapsular tonsillectomy. Its effect on the more minimally invasive intracapsular tonsillectomy (ICT) is unknown. A double-blind randomised controlled trial was performed to identify the effect of chilled saline on operation length, intra-/postoperative bleeding, postoperative pain and return to normal activity in paediatric Coblation ICT with adenoidectomy.

methodsForty-two paediatric patients undergoing Coblation ICT and adenoidectomy for sleep-disordered breathing were randomly assigned to receive either room temperature (22.5°C) or chilled saline (3.8°C) as the Coblation plasma medium. Duration of surgery, intra-/postoperative bleeding, postoperative pain (using the Wong-Baker Pain Scale) and return to normal activity were recorded. Both the surgeon and patients/parents were blinded to the procedure arm.

resultsResults had a nonparametric distribution and were analysed using a Mann-Whitney U test. Chilled saline extended median total procedure time (17.5 vs. 15 min; p < 0.05) when compared to room temperature saline. There was no statistically significant difference in postoperative pain, nor was there a difference in secondary outcomes: intra-/postoperative bleeding and return to normal activity.

conclusionThe use of chilled saline for paediatric Coblation ICT carries no advantages in terms of postoperative pain or bleeding. Chilled saline actually extends procedure time when compared to room temperature saline.

trial registrationAustralian Clinical Trial Registry Number: ACTRN12624001267549.

Indexed as

AdenoidectomySaline SolutionSleep Apnea SyndromesTonsillectomyChildChild, PreschoolCold TemperatureDouble-Blind MethodFemaleHumansMaleOperative TimePostoperative HemorrhagePostoperative PainTemperatureTreatment OutcomeSaline Solutionadenoidectomypostoperative painsaline solutiontonsillectomywound healing

Identifiers

PMID40391808
PMCPMC12484408

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.