腹腔镜手术是全世界最常见的手术之一。从气管内插管到声门上气道装置(SAD)的气道固定方法逐渐转变。当前工作的目的是对已发表的关于SAD或气管插管(ETT)的腹腔镜手术中气道并发症的RCT进行系统回顾和荟萃分析。
■这项研究在PROSPERO注册,并在GoogleScholar和PubMed中进行了文献检索,直到2022年8月。在78项研究中,筛选了31项研究,其中21项用于分析。RevMan5.4用于分析喉咙痛的数据,声音嘶哑,恶心,呕吐,喘鸣和咳嗽。
■21项随机对照试验,共招募2213名成年患者,都包括在定量分析中。ETT组术后喉咙痛和声音嘶哑发生率显著,风险比(RR)为0.44,P<0.00001[0.30,0.65],i2=72%,RR0.38,P<0.001[0.21,0.69],i2=72%,分别。然而,恶心的发生率,呕吐和喘鸣不显著,RR为0.83,P=0.26[0.60,1.15],i2=52%的恶心和RR0.55,P=0.03[0.33,0.93],i2=14%的呕吐。ETT组咳嗽发生率较高,RR为0.11,P<0.00001[0.06,0.20],i2=42%,与SAD组相比。
■就声音嘶哑的发生率而言,SAD和ETT之间存在很大差异,喉咙痛,恶心和咳嗽。本更新的系统综述中发现的证据加强了现有文献。
UNASSIGNED: Laparoscopic surgeries are among the most frequent procedures done worldwide. There is a gradual shift in the method of airway securement from endotracheal intubation to supraglottic airway devices (SAD). The objective of the current work was to perform a systematic review and meta-analysis of published RCTs on airway complications in laparoscopic surgery performed with a SAD or endotracheal intubation (ETT).
UNASSIGNED: The research was registered in PROSPERO, and a literature search was conducted in Google Scholar and PubMed until August 2022. Out of 78 studies, 31 studies were screened and 21 were included for analysis. RevMan 5.4 was used to analyse data on sore throat, hoarseness, nausea, vomiting, stridor and cough.
UNASSIGNED: Twenty-one randomised controlled trials, enrolling a total of 2213 adult patients, were included in the quantitative analysis. A significant incidence of sore throat and hoarseness was seen at post-operative period in ETT group with risk ratio (RR) 0.44, P < 0.00001 [0.30, 0.65], i2 = 72% and RR 0.38, P < 0.001 [0.21, 0.69], i2 = 72%, respectively. However, incidence of nausea, vomiting and stridor was not significant with RR 0.83, P = 0.26 [0.60, 1.15], i2 = 52% for nausea and RR 0.55, P = 0.03 [ 0.33, 0.93], i2 = 14% for vomiting. Incidence of cough was more in ETT group with RR 0.11, P < 0.00001 [ 0.06, 0.20], i2 = 42%, as compared to SAD group.
UNASSIGNED: There was a substantial variation between SADs and ETTs with respect to the incidence of hoarseness, sore throat, nausea and cough. The existing literature is reinforced by the evidence uncovered in this updated systematic review.