选择supraglottic气道装置:对随机对照试验的网络元分析
Muthuraj Kanakaraj1, Adithya D Bhat2, Narinder P Singh3
1Washington University in Saint Louis, Anaesthesiology Barnes Jewish Hospital, Saint Louis, MO, USA.
British journal of anaesthesia
|October 15, 2024
概括
这项网络元分析评估了超过12,000名患者的29条上气道 (SGA). 在呼吸道管理中以患者为中心的结果,LMA Ambu,Jcerity Endoscoper,Air-Q和i-gel显示出有希望的结果.
科学领域:
- 麻醉学 麻醉学
- 医疗器械 医疗器械
- 临床研究 临床研究
背景情况:
- 在过去的二十年中,超气道 (SGA) 经历了显著的发展.
- 麻醉提供者可以使用各种各样的SGA.
研究的目的:
- 为了比较29种不同的SGA的疗效和安全性.
- 根据关键临床结果提供SGA的排名顺序,以指导临床医生的决策.
主要方法:
- 一个网络对111项涉及12,045名患者的研究进行了元分析.
- 评估的结果包括术后喉疼痛 (POST),第一次尝试插入成功,出血并发症和口腔漏压力 (OLP).
- 使用可信的间隔建立了一个"等级顺序".
主要成果:
- LMA Ambu,Jcerity Endoscoper,LMA Blockbuster和LMA Baska Mask分别在POST,出血,第一次尝试成功和OLP方面排名最高.
- 在多个结果中,Air-Q和i-gel表现良好.
- 尽管OLP排名较低,但i-gel在POST,出血和第一次尝试成功方面排在前六名.
结论:
- 根据以患者为中心的结果,建议使用LMA-Ambu,Jcerity-Endoscoper,Air-Q和i-gel.
- 临床医生熟悉和越来越多地使用这些SGA可能会改善术后患者的体验.
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