Efficacy of laryngeal mask airway against postoperative pharyngolaryngeal complications following thyroid surgery: a systematic review and meta-analysis of randomized controlled studies

被引：8

作者：

Hung, Kuo-Chuan ^{[1
]}

Wu, Shao-Chun ^{[2
]}

Hsu, Chih-Wei ^{[3
,4
]}

Ko, Ching-Chung ^{[5
,6
,7
]}

Chen, Jui-Yi ^{[7
,8
]}

Huang, Ping-Wen ^{[9
]}

Chen, I-Wen ^{[1
]}

Sun, Cheuk-Kwan ^{[10
,11
]}

机构：

[1] Chi Mei Med Ctr, Dept Anesthesiol, Tainan, Taiwan

[2] Chang Gung Univ, Kaohsiung Chang Gung Mem Hosp, Dept Anesthesiol, Coll Med, Kaohsiung, Taiwan

[3] Kaohsiung Chang Gung Mem Hosp, Dept Psychiat, Kaohsiung, Taiwan

[4] Chang Gung Univ, Coll Med, Kaohsiung, Taiwan

[5] Chi Mei Med Ctr, Dept Med Imaging, Tainan, Taiwan

[6] Natl Sun Yat Sen Univ, Inst Biomed Sci, Kaohsiung, Taiwan

[7] ChiaNai Univ Pharm & Sci, Dept Hlth & Nutr, Nanjing, Jiangsu, Peoples R China

[8] Chi Mei Med Ctr, Dept Internal Med, Div Nephrol, Tainan, Taiwan

[9] Show Chwan Mem Hosp, Dept Emergency Med, Changhua, Taiwan

[10] E Da Hosp, Dept Emergency Med, 1 Yida Rd, Kaohsiung 82445, Taiwan

[11] I Shou Univ, Coll Med, Kaohsiung, Taiwan

来源：

SCIENTIFIC REPORTS | 2022年 / 12卷 / 01期

关键词：

SORE THROAT; TRACHEAL INTUBATION; ENDOTRACHEAL INTUBATION; CONTROLLED-TRIAL; VOICE; TUBE; OUTPATIENT; QUALITY; NERVE; HEAD;

D O I：

10.1038/s41598-022-21989-5

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

This meta-analysis aimed at investigating the effectiveness of laryngeal mask airway (LMA) against postoperative pharyngolaryngeal complications after thyroidectomy. MEDLINE, Cochrane Library, google scholar, and EMBASE databases were searched from inception through February, 2021, for randomized controlled trials (RCTs) comparing the incidence of pharyngolaryngeal complications following the use of LMA or endotracheal tube (ETT). Pooled results from seven RCTs involving 600 patients showed an association of LMA with a reduced risk of postoperative sore throat (POST) at 24 h [risk ratio (RR) 0.75, p = 0.006, four trials], but not at 1 h and 48 h after thyroidectomy. POST severity and hoarseness risk were lower in the LMA group than the ETT group at 1 h, 24 h, and 48 h (all p < 0.05). Nevertheless, hoarseness severity was lower in the LMA group only at postsurgical 48 h [standardized mean difference = - 0.35, p = 0.008, three trials]. Moreover, the risk of emergence cough was lower in patients using LMA than those receiving ETT (RR = 0.14, p = 0.002, two trials). The two groups did not differ in the severity of dysphagia at postoperative 1 h, 24 h, and 48 h. This meta-analysis showed that LMA may be associated with fewer pharyngolaryngeal complications compared to ETT without airway impacts. The limited number of included studies warrants further research to support our findings.

引用

页数：12