Cardiothoracic & vascular anesthesia
Preoperative Ultrasound-Guided Internal Branch Block of Superior Laryngeal Nerve Reduces Postoperative Sore Throat Caused by Double Lumen Endotracheal Intubation: A Randomized Trial
Primary result · Incidence of POSTResult — go to the resultEstimate 0.29 95% CI 0.10–0.81Authors' conclusion
Preoperative US-guided iSLNB could significantly ameliorate the incidence and severity of POST induced by double-lumen bronchial catheter intubation.
Study context
- Population
- Patients undergoing thoracoscopic resection of pulmonary nodules/lobes/segments with one-lung ventilation (OLV) under general anesthesia (GA) and double-lumen tube intubation
- Participants
- 82 patients
- Comparison
- Preoperative bilateral US-guided iSLNB plus GA vs GA alone
- Sn = 41
- Cn = 41reference
- Primary endpoint
- Incidence of POST
- Follow-up
- 6 hours after surgery
Primary result
As reported in the abstract
Estimate
0.29
95% CI 0.10–0.81
P = 0.012
Events by treatment group
S
7 of 41
7 of 41
C
17 of 41
17 of 41
Further findings
| Outcome | S | C | Estimate | P value |
|---|---|---|---|---|
| Overall accumulated incidence of POST | 9/41 | 20/41 | 0.30 (95% CI 0.11–0.77) | P = 0.011 |
| Incidence and severity of POST · 2 hours after surgeryIncidence P = .008; severity P = .004 | 9/41 | 20/41 | 0.30 (95% CI 0.11–0.77) | P = 0.008 |
Incidence and severity of postoperative sore throat (POST) · 24 hours after surgery
- Nonsignificant difference between groups
Incidence and severity of hoarseness · 2, 6, and 24 hours after surgery
- Comparable between the 2 groups
Original publication
Preoperative Ultrasound-Guided Internal Branch Block of Superior Laryngeal Nerve Reduces Postoperative Sore Throat Caused by Double Lumen Endotracheal Intubation: A Randomized Trial. Anesth Analg. Published 25 May 2023. doi:10. 1213/ ane. 0000000000006534
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