Perioperative medicine & outcomes
Postoperative pulmonary complications in older patients undergoing elective surgery with a supraglottic airway device or tracheal intubation
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 < 0.001Parts 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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