Airway management

Postoperative Sore Throat Following Double-lumen Tube Insertion in Adults Undergoing Surgery: A Scoping Review

J Cardiothorac Vasc AnesthPublished Scoping review of randomised controlled trials

Study context

Population
Adults undergoing surgery with double-lumen tubes
Participants
1,632 adults · 12 randomized controlled trials (RCTs)
Comparison
Pharmacologic and nonpharmacologic interventions vs control for postoperative sore throat (POST) prevention after DLT use
Primary endpoint
POST incidence or severity
Methodological detailsMost studies were of good quality
  • Most studies were of good quality

Primary result

As reported in the abstract

Incidence of POST · 24 hours

Further findings

Maximum incidence of POST and hoarseness, control groups · first postoperative hour

POST
56.4%
Hoarseness of voice
44.3%

Incidence of POST by intervention type · first hour

Preemptive pharmacologic interventions
7.22% to 31%
Nonpharmacologic methods
30% to 45.9%

Nonpharmacologic strategies

Silicone double-lumen tubes (DLTs), thermal softening and optimized intubation maneuvers also effective in reducing POST

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

Original publication

Postoperative Sore Throat Following Double-lumen Tube Insertion in Adults Undergoing Surgery: A Scoping Review. J Cardiothorac Vasc Anesth. Published 16 August 2025. doi:10.1053/j.jvca.2025.08.031

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