TY - JOUR
T1 - Comparison of two supraglottic airway devices on postoperative sore throat in children
T2 - a prospective randomized controlled trial
AU - Hameed, Malika
AU - Samad, Khalid
AU - Ullah, Hameed
N1 - Publisher Copyright:
© 2020 Sociedade Brasileira de Anestesiologia
PY - 2020/5/1
Y1 - 2020/5/1
N2 - Background and objective: Sore throat is well recognized complaint after receiving general anesthesia. This study is conducted to compare the severity and frequency of postoperative sore throat in children undergoing elective surgery – following the use of Ambu laryngeal mask airway) or I‐gel® – who are able to self‐report postoperative sore throat. Method: Seventy children, 6 to 16 years‐old, undergoing elective surgery randomly allocated to either Ambu laryngeal mask (Ambu Group) or I‐gel® (I‐gel Group). After the procedure, patients were interviewed in the recovery room immediately, after one hour, 6 and 24 hours postoperatively by an independent observer blinded to the device used intra‐operatively. Results: On arrival in the recovery room 17.1% (n = 6) of children of the Ambu Group complained of postoperative sore throat, against 5.7% in I‐gel Group (n = 2). After one hour, the results were similar. After 6 hours, postoperative sore throat was found in 8.6% (n = 3) of the children in Ambu group vs. 2.9% (n = 1) in I‐gel Group. After 24 hours, 2.9% (n = 1) of the kids in Ambu Group compared to none in I‐gel Group. There was no significant difference found in the incidence of postoperative sore throat in both devices on arrival (p = 0.28); after 1 hour (p = 0.28); after 6 hours (p = 0.30); and after 24 hours (p = 0.31). The duration of the insertion was shorter in Ambu Group and it was easier to insert the I‐gel® (p = 0.029). Oropharyngeal seal pressure of I‐gel® was higher than that of Ambu laryngeal mask (p = 0.001). Conclusion: The severity and frequency of postoperative sore throat in children is not statistically significant in the I‐gel Group compared to Ambu Group.
AB - Background and objective: Sore throat is well recognized complaint after receiving general anesthesia. This study is conducted to compare the severity and frequency of postoperative sore throat in children undergoing elective surgery – following the use of Ambu laryngeal mask airway) or I‐gel® – who are able to self‐report postoperative sore throat. Method: Seventy children, 6 to 16 years‐old, undergoing elective surgery randomly allocated to either Ambu laryngeal mask (Ambu Group) or I‐gel® (I‐gel Group). After the procedure, patients were interviewed in the recovery room immediately, after one hour, 6 and 24 hours postoperatively by an independent observer blinded to the device used intra‐operatively. Results: On arrival in the recovery room 17.1% (n = 6) of children of the Ambu Group complained of postoperative sore throat, against 5.7% in I‐gel Group (n = 2). After one hour, the results were similar. After 6 hours, postoperative sore throat was found in 8.6% (n = 3) of the children in Ambu group vs. 2.9% (n = 1) in I‐gel Group. After 24 hours, 2.9% (n = 1) of the kids in Ambu Group compared to none in I‐gel Group. There was no significant difference found in the incidence of postoperative sore throat in both devices on arrival (p = 0.28); after 1 hour (p = 0.28); after 6 hours (p = 0.30); and after 24 hours (p = 0.31). The duration of the insertion was shorter in Ambu Group and it was easier to insert the I‐gel® (p = 0.029). Oropharyngeal seal pressure of I‐gel® was higher than that of Ambu laryngeal mask (p = 0.001). Conclusion: The severity and frequency of postoperative sore throat in children is not statistically significant in the I‐gel Group compared to Ambu Group.
KW - Anesthesia
KW - Child
KW - Laryngeal masks
KW - Minors
KW - Pharyngitis
UR - http://www.scopus.com/inward/record.url?scp=85085760376&partnerID=8YFLogxK
U2 - 10.1016/j.bjan.2020.03.006
DO - 10.1016/j.bjan.2020.03.006
M3 - Article
C2 - 32507285
AN - SCOPUS:85085760376
SN - 0034-7094
VL - 70
SP - 240
EP - 247
JO - Brazilian Journal of Anesthesiology (English Edition)
JF - Brazilian Journal of Anesthesiology (English Edition)
IS - 3
ER -