Airway management

Choice of supraglottic airway devices: a network meta-analysis of randomised controlled trials

Br J AnaesthPublished Network meta-analysis of randomised controlled trials

Authors' conclusion

Our data support the use of LMA-Ambu, Jcerity-Endoscoper, Air-Q, and i-gel when considering patient-centred outcomes.

Study context

Population
Patients undergoing airway management with supraglottic airways (SGAs)
Participants
12,045 patients · 111 studies · 29 SGAs
Comparison
29 SGAs compared with each other
Outcome
Incidence of postoperative sore throat (POST)
Methodological detailsrank order based on credible intervals
  • Rank order based on credible intervals

Pooled result

As reported in the abstract

POST
  • Highest-ranking device for postoperative sore throat (POST): LMA Ambu
  • I-gel ranked within top six SGAs for POST
  • Ranking based on CrI

Further pooled results

Bleeding complications

Highest-ranking device: Jcerity Endoscoper

First-attempt insertion success

Highest-ranking device: LMA Blockbuster

Oropharyngeal leak pressure (OLP)

Highest-ranking device: LMA Baska Mask
I-gel ranked poorly for OLP

Multiple outcomes

Air-Q and i-gel ranked favourably across multiple outcomes; i-gel the only device in top six for POST, bleeding and first-attempt success

Original publication

Choice of supraglottic airway devices: a network meta-analysis of randomised controlled trials. Br J Anaesth. Published 15 October 2024. doi:10.1016/j.bja.2024.09.001

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