Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial
Abstract Background Sore throat is a remarkable complication after thyroid surgery with endotracheal tube (ETT). Many studies revealed that laryngeal mask airway (LMA) might reduce the incidence and severity of postoperative sore throat. However, little is known about the use of a flexible reinforce...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-01-01
|
| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-020-0932-2 |
| _version_ | 1811270720235241472 |
|---|---|
| author | Yahong Gong Xiaohan Xu Jin Wang Lu Che Weijia Wang Jie Yi |
| author_facet | Yahong Gong Xiaohan Xu Jin Wang Lu Che Weijia Wang Jie Yi |
| author_sort | Yahong Gong |
| collection | DOAJ |
| description | Abstract Background Sore throat is a remarkable complication after thyroid surgery with endotracheal tube (ETT). Many studies revealed that laryngeal mask airway (LMA) might reduce the incidence and severity of postoperative sore throat. However, little is known about the use of a flexible reinforced LMA (FLMA) in thyroid surgery. The purpose of this study was to explore the potential benefits of FLMA compared with ETT on postoperative sore throat. Methods In this prospective, single-blinded, randomized, controlled trial, ninety-six patients aged 20–80 years, scheduled for elective radical thyroidectomy under general anesthesia were enrolled. They were randomly divided into ETT group and FLMA group. All the included patients received total intravenous anesthesia (with propofol, fentanyl and rocuronium) and controlled mechanical ventilation during the surgery. Cuff pressure of ETT and FLMA were strictly controlled. Incidence and severity of postoperative sore throat, numbness and hoarseness at 1, 24, and 48 h after surgery was evaluated and compared between the two groups. Incidence and severity of buckling during extubation and the hemodynamic profile during intubation were also recorded and compared. Results The incidence of sore throat and hoarseness was significantly lower in FLMA group than those in ETT group at 1 h, 24 h and 48 h postoperatively, as well as the severity of sore throat. Compared to ETT group, there was a significantly lower incidence of buckling during extubation and less fluctuation of HR and BP at 1 min and 3 min after intubation in FLMA group. Conclusions Patients undergoing thyroid surgery with FLMA had less postoperative laryngopharyngeal symptoms when compared with ETT. The use of FLMA also achieved less buckling during extubation and better hemodynamic profiles during intubation. Trial registration The research was registered in Chinese Clinical Trial Registry (ChiCTR-IOR-15006602) on May 23th, 2015. |
| first_indexed | 2024-04-12T22:08:13Z |
| format | Article |
| id | doaj.art-184123ad0e4c4587af2b1081472e2a7d |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-04-12T22:08:13Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-184123ad0e4c4587af2b1081472e2a7d2022-12-22T03:14:51ZengBMCBMC Anesthesiology1471-22532020-01-012011710.1186/s12871-020-0932-2Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trialYahong Gong0Xiaohan Xu1Jin Wang2Lu Che3Weijia Wang4Jie Yi5Department of Anesthesiology, Peking Union Medical College Hospital (PUMCH)Department of Anesthesiology, Peking Union Medical College Hospital (PUMCH)Department of Anesthesiology, Peking Union Medical College Hospital (PUMCH)Department of Anesthesiology, Peking Union Medical College Hospital (PUMCH)Department of Anesthesiology, Peking Union Medical College Hospital (PUMCH)Department of Anesthesiology, Peking Union Medical College Hospital (PUMCH)Abstract Background Sore throat is a remarkable complication after thyroid surgery with endotracheal tube (ETT). Many studies revealed that laryngeal mask airway (LMA) might reduce the incidence and severity of postoperative sore throat. However, little is known about the use of a flexible reinforced LMA (FLMA) in thyroid surgery. The purpose of this study was to explore the potential benefits of FLMA compared with ETT on postoperative sore throat. Methods In this prospective, single-blinded, randomized, controlled trial, ninety-six patients aged 20–80 years, scheduled for elective radical thyroidectomy under general anesthesia were enrolled. They were randomly divided into ETT group and FLMA group. All the included patients received total intravenous anesthesia (with propofol, fentanyl and rocuronium) and controlled mechanical ventilation during the surgery. Cuff pressure of ETT and FLMA were strictly controlled. Incidence and severity of postoperative sore throat, numbness and hoarseness at 1, 24, and 48 h after surgery was evaluated and compared between the two groups. Incidence and severity of buckling during extubation and the hemodynamic profile during intubation were also recorded and compared. Results The incidence of sore throat and hoarseness was significantly lower in FLMA group than those in ETT group at 1 h, 24 h and 48 h postoperatively, as well as the severity of sore throat. Compared to ETT group, there was a significantly lower incidence of buckling during extubation and less fluctuation of HR and BP at 1 min and 3 min after intubation in FLMA group. Conclusions Patients undergoing thyroid surgery with FLMA had less postoperative laryngopharyngeal symptoms when compared with ETT. The use of FLMA also achieved less buckling during extubation and better hemodynamic profiles during intubation. Trial registration The research was registered in Chinese Clinical Trial Registry (ChiCTR-IOR-15006602) on May 23th, 2015.https://doi.org/10.1186/s12871-020-0932-2Sore throatThyroid surgeryPostoperativeEndotracheal tubeFlexible laryngeal mask airway |
| spellingShingle | Yahong Gong Xiaohan Xu Jin Wang Lu Che Weijia Wang Jie Yi Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial BMC Anesthesiology Sore throat Thyroid surgery Postoperative Endotracheal tube Flexible laryngeal mask airway |
| title | Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial |
| title_full | Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial |
| title_fullStr | Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial |
| title_full_unstemmed | Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial |
| title_short | Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial |
| title_sort | laryngeal mask airway reduces incidence of post operative sore throat after thyroid surgery compared with endotracheal tube a single blinded randomized controlled trial |
| topic | Sore throat Thyroid surgery Postoperative Endotracheal tube Flexible laryngeal mask airway |
| url | https://doi.org/10.1186/s12871-020-0932-2 |
| work_keys_str_mv | AT yahonggong laryngealmaskairwayreducesincidenceofpostoperativesorethroatafterthyroidsurgerycomparedwithendotrachealtubeasingleblindedrandomizedcontrolledtrial AT xiaohanxu laryngealmaskairwayreducesincidenceofpostoperativesorethroatafterthyroidsurgerycomparedwithendotrachealtubeasingleblindedrandomizedcontrolledtrial AT jinwang laryngealmaskairwayreducesincidenceofpostoperativesorethroatafterthyroidsurgerycomparedwithendotrachealtubeasingleblindedrandomizedcontrolledtrial AT luche laryngealmaskairwayreducesincidenceofpostoperativesorethroatafterthyroidsurgerycomparedwithendotrachealtubeasingleblindedrandomizedcontrolledtrial AT weijiawang laryngealmaskairwayreducesincidenceofpostoperativesorethroatafterthyroidsurgerycomparedwithendotrachealtubeasingleblindedrandomizedcontrolledtrial AT jieyi laryngealmaskairwayreducesincidenceofpostoperativesorethroatafterthyroidsurgerycomparedwithendotrachealtubeasingleblindedrandomizedcontrolledtrial |