Pediatric anesthesia & critical care
Supraglottic airway device versus tracheal tube for pediatric laparoscopic surgery—A systematic review and meta‐analysis
Authors' conclusion
There is low quality evidence to suggest that for pediatric laparoscopic surgeries of short duration, supraglottic devices could provide comparable intraoperative ventilation in terms of peak airway pressures and end tidal carbon dioxide, with lower odds of postoperative sore throat and faster recovery time when compared to tracheal tubes.
Study context
- Population
- Patients ≤18 years undergoing laparoscopic surgery under GA
- Participants
- 591 patients · 8 RCTs
- Comparison
- SGA vs tracheal tube
- Outcome
- Peak airway pressures and end-tidal carbon dioxide during pneumoperitoneum
Methodological detailsrandom effect model
- Random effect model
Pooled result
As reported in the abstract
Supraglottic device vs Tracheal tubeMD, cm H2 O (95% CI)P value
Peak airway pressures
0.58(−0.65 to 1.8)
P = 0.36Supraglottic device vs Tracheal tubeMD, mm Hg (95% CI)P value
End-tidal carbon dioxide
−0.60(−2.00 to 0.80)
P = 0.40Further pooled results
| Outcome | MD (min) (95% CI) | P value | |
|---|---|---|---|
| Recovery timeFaster recovery with supraglottic airway | 4.21 (3.12–5.31) | P < 0.0001 | |
| −50510Difference, min (linear scale) |
Safety
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Postoperative sore throatHigher odds with tracheal tube | 3.30 (1.69–6.45) | P = 0.0005 | |
| 0.10.31310Odds ratio (log scale) |
Original publication
Supraglottic airway device versus tracheal tube for pediatric laparoscopic surgery—A systematic review and meta‐analysis. Paediatr Anaesth. Published 29 June 2023. doi:10.
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