Evidence map›Paper›PMID 41146804›Full record

ReviewCureus2025

Airway Management in Patients With Vocal Cord Paralysis: A Review of Intubation Techniques, Intraoperative Challenges, and Outcomes.

Rayyan Bhutta, Ali Osman, Tala Maya, Justin Ma, Ali Al Saeed, Sumit Sidhu, Mariya Wood, Bilal Akhtar, Sirimas Lau, Matthias Franzen

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Rayyan BhuttaAnesthesiology, Ohio University Heritage College of Osteopathic Medicine, Dublin, USA.
Ali OsmanAnesthesiology, Ohio University Heritage College of Osteopathic Medicine, Dublin, USA.
Tala MayaAnesthesiology, University of Louisville School of Medicine, Louisville, USA.
Justin MaAnesthesiology, California Health Sciences University College of Osteopathic Medicine, Clovis, USA.
Ali Al SaeedAnesthesiology, Lake Erie College of Osteopathic Medicine, Greensburg, USA.
Sumit SidhuAnesthesiology, California State University, Fresno, Fresno, USA.
Mariya WoodAnesthesiology, The Ohio State University, Columbus, USA.
Bilal AkhtarAnesthesiology, Otterbein University, Westerville, USA.
Sirimas LauAnesthesiology, OhioHealth Doctors Hospital, Columbus, USA.
Matthias FranzenAnesthesiology, OhioHealth Doctors Hospital, Columbus, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vocal cord paralysis (VCP) presents with unique challenges when managing airways, particularly during endotracheal intubation. This literature review explores the effects of unilateral and bilateral VCP on intubation technique, first-pass success, extubation safety, and perioperative airway planning. While video laryngoscopy (VL) is becoming increasingly favored for its superior airway visualization, it does not always confirm successful placement in patients with VCP. Complications such as airway edema, aspiration risk, and cuff misplacements are increased in this patient population, and they may be more vulnerable to post-extubation complications, especially without the use of steroid prophylaxis or intensive post-operative planning. A comparison of direct laryngoscopy (DL) versus VL in this patient population reveals a gap in the literature, emphasizing the need for more research in airway management in patients with VCP. This review combines current practices, clinical considerations for anesthesia providers, and identifies areas for further investigation.

Indexed as

airway techniquesdifficult airway intubationdifficult airway managementmanagement of vocal cord paralysisperioperative care

Identifiers

PMID41146804
PMCPMC12554088

What OpenQuestion holds

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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.