Effects of GlideScope, Pentax Airway Scope, and Macintosh Blade on the Incidence of Postoperative Sore Throat: A Cohort Study of 10,382 Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10,382
- 试验地点
- 1
- 主要终点
- Postoperative sore throat (POST)
研究概览
简要总结
Postoperative sore throat (POST) is a common complaint after general anesthesia. POST is defined by the presence of a self-reported foreign body sensation or a painful sensation in the throat after general anesthesia. This condition may affect recovery and patient satisfaction and is associated with many factors, including intubation tools. Previous studies have reported conflicting results on POST. This retrospective cohort study, with sample size of 10,382 patients, was conducted to confirm the hypothesis that the use of video laryngoscopy (VL) is associated with a lower incidence of POST compared with direct laryngoscopy (DL).
详细描述
Background: Postoperative sore throat (POST) is a common complaint after general anesthesia. POST is defined by the presence of a self-reported foreign body sensation or a painful sensation in the throat after general anesthesia. This condition may affect recovery and patient satisfaction and is associated with many factors, including intubation tools. Previous studies have reported conflicting results on POST. This retrospective cohort study, with sample size of 10,382 patients, was conducted to confirm the hypothesis that the use of video laryngoscopy (VL) is associated with a lower incidence of POST compared with direct laryngoscopy (DL).
Methods: Data were extracted from a prospectively maintained quality improvement database. A total of 10,382 patients were included in the study. Statistical analysis was conducted for comparisons of demographic characteristics and to determine the effect of intubation tools on the incidence of POST.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients receiving inpatients surgery and general anesthesia with tracheal intubation
排除标准
- •Having difficult airway,
- •Anticipated difficult airway:
- •Abnormal cervical spine movement or temporomandibular joint movement
- •Airway-compromising masses such as tumors, cysts, or hematomas
- •A Mallampati score greater than 3
- •A thyromental distance of less than 6 cm
- •A lesion below vocal cord
- •A previously identified difficult airway
- •Unexpected difficult airway
- •difficult mask ventilation
- •difficult vocal cord visualization after multiple attempts of laryngoscopy
- •Receiving laryngeal surgery, such as laryngeal biopsy, laryngeal microsurgery, laryngoplasty or vocal cord surgery,
- •Not being extubated at the end of anesthesia,
- •Being pregnant,
- •Being under 20 years of age,
- •American Society of Anesthesiologists (ASA) physical status class greater than 3.
结局指标
主要结局
Postoperative sore throat (POST)
时间窗: 12 to 24 hours after general anesthesia is finished
POST is defined by the presence of a self-reported foreign body sensation or a painful sensation in the throat after general anesthesia.
次要结局
未报告次要终点
研究者
Sung, Chao-Hsien
Attending Anesthesiologist
Fu Jen Catholic University Hospital