Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review

Abstract Numerous supraglottic airway device (SADs) have been designed for adults; however, their relative efficacy, indicated by parameters such as adequacy of sealing, ease of application, and postinsertion complications, remains unclear. We conducted a systematic review and network meta-analysis...

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Autores principales:	Chih-Jun Lai, Yi-Chun Yeh, Yu-Kang Tu, Ya-Jung Cheng, Chih-Min Liu, Shou-Zen Fan
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/52fd4b4fc37f4c3ca3d9607042fbe5fb
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spelling	oai:doaj.org-article:52fd4b4fc37f4c3ca3d9607042fbe5fb2021-12-02T16:26:30ZComparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review10.1038/s41598-021-94114-72045-2322https://doaj.org/article/52fd4b4fc37f4c3ca3d9607042fbe5fb2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94114-7https://doaj.org/toc/2045-2322Abstract Numerous supraglottic airway device (SADs) have been designed for adults; however, their relative efficacy, indicated by parameters such as adequacy of sealing, ease of application, and postinsertion complications, remains unclear. We conducted a systematic review and network meta-analysis to evaluate the efficacy of various SADs. We searched electronic databases for randomized controlled trials comparing at least two types of SADs published before December 2019. The primary outcomes were oropharyngeal leak pressure (OLP), risk of first-attempt insertion failure, and postoperative sore throat rate (POST). We included 108 studies (n = 10,645) comparing 17 types of SAD. The Proseal laryngeal mask airway (LMA), the I-gel supraglottic airway, the Supreme LMA, the Streamlined Liner of the Pharynx Airway, the SoftSeal, the Cobra Perilaryngeal Airway, the Air-Q, the Laryngeal Tube, the Laryngeal Tube Suction II, the Laryngeal Tube Suction Disposable, AuraGain, and Protector had significantly higher OLP (mean difference ranging from 3.98 to 9.18 cmH2O) compared with that of a classic LMA (C-LMA). The Protector exhibited the highest OLP and was ranked first. All SADs had a similar likelihood of first-attempt insertion failure and POST compared with the C-LMA. Our findings indicate that the Protector may be the best SAD because it has the highest OLP. Systematic review registration PROSPERO: CRD42017065273.Chih-Jun LaiYi-Chun YehYu-Kang TuYa-Jung ChengChih-Min LiuShou-Zen FanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chih-Jun Lai Yi-Chun Yeh Yu-Kang Tu Ya-Jung Cheng Chih-Min Liu Shou-Zen Fan Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review
description	Abstract Numerous supraglottic airway device (SADs) have been designed for adults; however, their relative efficacy, indicated by parameters such as adequacy of sealing, ease of application, and postinsertion complications, remains unclear. We conducted a systematic review and network meta-analysis to evaluate the efficacy of various SADs. We searched electronic databases for randomized controlled trials comparing at least two types of SADs published before December 2019. The primary outcomes were oropharyngeal leak pressure (OLP), risk of first-attempt insertion failure, and postoperative sore throat rate (POST). We included 108 studies (n = 10,645) comparing 17 types of SAD. The Proseal laryngeal mask airway (LMA), the I-gel supraglottic airway, the Supreme LMA, the Streamlined Liner of the Pharynx Airway, the SoftSeal, the Cobra Perilaryngeal Airway, the Air-Q, the Laryngeal Tube, the Laryngeal Tube Suction II, the Laryngeal Tube Suction Disposable, AuraGain, and Protector had significantly higher OLP (mean difference ranging from 3.98 to 9.18 cmH2O) compared with that of a classic LMA (C-LMA). The Protector exhibited the highest OLP and was ranked first. All SADs had a similar likelihood of first-attempt insertion failure and POST compared with the C-LMA. Our findings indicate that the Protector may be the best SAD because it has the highest OLP. Systematic review registration PROSPERO: CRD42017065273.
format	article
author	Chih-Jun Lai Yi-Chun Yeh Yu-Kang Tu Ya-Jung Cheng Chih-Min Liu Shou-Zen Fan
author_facet	Chih-Jun Lai Yi-Chun Yeh Yu-Kang Tu Ya-Jung Cheng Chih-Min Liu Shou-Zen Fan
author_sort	Chih-Jun Lai
title	Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review
title_short	Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review
title_full	Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review
title_fullStr	Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review
title_full_unstemmed	Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review
title_sort	comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/52fd4b4fc37f4c3ca3d9607042fbe5fb
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Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review

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