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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nagoya University
2022
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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. |
format | Online Article Text |
id | pubmed-9350577 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nagoya University |
record_format | MEDLINE/PubMed |
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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