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Risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device

i-gel™ is a supraglottic airway device widely used for airway management during general anesthesia as an alternative to tracheal intubation. It sometimes results in a sore throat postoperatively; however, the risk factors for a postoperative sore throat caused by i-gel remain unclear. Here, we clari...

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Autores principales: Taniguchi, Tomoya, Fujii, Tasuku, Taniguchi, Nanako, Nishiwaki, Kimitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nagoya University 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9350577/
https://www.ncbi.nlm.nih.gov/pubmed/35967947
http://dx.doi.org/10.18999/nagjms.84.2.319
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author Taniguchi, Tomoya
Fujii, Tasuku
Taniguchi, Nanako
Nishiwaki, Kimitoshi
author_facet Taniguchi, Tomoya
Fujii, Tasuku
Taniguchi, Nanako
Nishiwaki, Kimitoshi
author_sort Taniguchi, Tomoya
collection PubMed
description i-gel™ is a supraglottic airway device widely used for airway management during general anesthesia as an alternative to tracheal intubation. It sometimes results in a sore throat postoperatively; however, the risk factors for a postoperative sore throat caused by i-gel remain unclear. Here, we clarify the risk factors for a postoperative sore throat associated with i-gel insertion. We retrospectively reviewed the data of 426 adult patients who received general anesthesia with i-gel at our institution from January 2018 to December 2019. The incidence of postoperative sore throat and intraoperative data (size of i-gel, number of insertion attempts, total insertion time, and dose of the neuromuscular blocker and opioid) were evaluated. Logistic regression analysis was performed to identify the risk factors. Postoperative sore throat following i-gel insertion occurred in 24/426 patients (5.6%). The insertion time was significantly associated with the incidence of postoperative sore throat in the univariate analysis, but not in the multivariate analysis (P=0.519). Increased doses of neuromuscular blockers before i-gel insertion (odds ratio [OR], 5.46; 95% confidence interval [CI], 1.50–19.80; P=0.001) and reduced doses of intraoperative fentanyl (OR, 0.51; 95% CI, 0.28–0.93; P=0.028) were risk factors in the univariate and multivariate analyses. In the subgroup that used neuromuscular blockers before i-gel insertion, only an increased dose of neuromuscular blocker (OR, 17.2; 95%, CI 1.06–280; P=0.046) was an associated risk factor in the univariate and multivariate analyses. Overall, increased doses of neuromuscular blockers before i-gel insertion could contribute to the development of postoperative sore throat.
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spelling pubmed-93505772022-08-11 Risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device Taniguchi, Tomoya Fujii, Tasuku Taniguchi, Nanako Nishiwaki, Kimitoshi Nagoya J Med Sci Original Paper i-gel™ is a supraglottic airway device widely used for airway management during general anesthesia as an alternative to tracheal intubation. It sometimes results in a sore throat postoperatively; however, the risk factors for a postoperative sore throat caused by i-gel remain unclear. Here, we clarify the risk factors for a postoperative sore throat associated with i-gel insertion. We retrospectively reviewed the data of 426 adult patients who received general anesthesia with i-gel at our institution from January 2018 to December 2019. The incidence of postoperative sore throat and intraoperative data (size of i-gel, number of insertion attempts, total insertion time, and dose of the neuromuscular blocker and opioid) were evaluated. Logistic regression analysis was performed to identify the risk factors. Postoperative sore throat following i-gel insertion occurred in 24/426 patients (5.6%). The insertion time was significantly associated with the incidence of postoperative sore throat in the univariate analysis, but not in the multivariate analysis (P=0.519). Increased doses of neuromuscular blockers before i-gel insertion (odds ratio [OR], 5.46; 95% confidence interval [CI], 1.50–19.80; P=0.001) and reduced doses of intraoperative fentanyl (OR, 0.51; 95% CI, 0.28–0.93; P=0.028) were risk factors in the univariate and multivariate analyses. In the subgroup that used neuromuscular blockers before i-gel insertion, only an increased dose of neuromuscular blocker (OR, 17.2; 95%, CI 1.06–280; P=0.046) was an associated risk factor in the univariate and multivariate analyses. Overall, increased doses of neuromuscular blockers before i-gel insertion could contribute to the development of postoperative sore throat. Nagoya University 2022-05 /pmc/articles/PMC9350577/ /pubmed/35967947 http://dx.doi.org/10.18999/nagjms.84.2.319 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Original Paper
Taniguchi, Tomoya
Fujii, Tasuku
Taniguchi, Nanako
Nishiwaki, Kimitoshi
Risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device
title Risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device
title_full Risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device
title_fullStr Risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device
title_full_unstemmed Risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device
title_short Risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device
title_sort risk factors for postoperative sore throat associated with i-gel™, a supraglottic airway device
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9350577/
https://www.ncbi.nlm.nih.gov/pubmed/35967947
http://dx.doi.org/10.18999/nagjms.84.2.319
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