Perioperative medicine & outcomes

Postoperative pulmonary complications in older patients undergoing elective surgery with a supraglottic airway device or tracheal intubation

AnaesthesiaPublished Randomised controlled trial

Authors' conclusion

Among otherwise healthy older patients undergoing elective surgery under general anaesthesia with intra-operative positive pressure ventilation of their lungs, there were fewer postoperative pulmonary complications when the airway was managed with a supraglottic airway device compared with a tracheal tube.

Study context

Population
Patients aged ≥ 70 years undergoing elective non-cardiothoracic surgery under GA with positive pressure ventilation, 17 centres2,751 in primary analysis
Participants
2,900 patients
Comparison
SGA vs tracheal tube
  • Supraglottic airway devicen = 1,387
  • Tracheal tuben = 1,364reference
Methodological detailsmulticentre
  • Multicentre

Primary result

As reported in the abstract

In-hospital PPCs (mostly coughing)
Each group vs tracheal tubeAbsolute difference, % (95% CI)
Supraglottic airway device
−5.6(−8.7 to −2.5)
Each group vs tracheal tubeRelative risk (95% CI)P value
Supraglottic airway device
0.78(0.67–0.89)
P < 0.001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Postoperative pulmonary complications in older patients undergoing elective surgery with a supraglottic airway device or tracheal intubation. Anaesthesia. Published 4 June 2023. doi:10.1111/anae.16030

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