Does intubation while observing the glottis with a fiberoptic scope reduce postoperative sore throat?

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968535 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2253 (Electronic) Linking ISSN: 14712253 NLM ISO Abbreviation: BMC Anesthesiol Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, 2001-
    • Subject Terms:
      Pharyngitis*/etiology ; Pharyngitis*/prevention & control ; Pharyngitis*/epidemiology ; Intubation, Intratracheal*/methods ; Intubation, Intratracheal*/instrumentation ; Fiber Optic Technology* ; Postoperative Complications*/prevention & control ; Postoperative Complications*/epidemiology ; Postoperative Complications*/etiology; Humans ; Male ; Female ; Retrospective Studies ; Adult ; Middle Aged ; Glottis ; Hoarseness/prevention & control ; Hoarseness/etiology ; Oral Surgical Procedures/methods ; Aged
    • Abstract:
      Introduction: In oral maxillofacial surgery, the nasal tracheal tube is mostly used to provide a better surgical field for oral, head and neck operations. Postoperative sore throat and hoarseness are common following tracheal intubation, with an incidence of 11-55%. Then, we previously reported advantage technique of fiberoptic scope to decrease the risk which the tip of the tube is visualized as the tube is advanced which helps avoid impingement of the tube. However, the extent to which this technique causes postoperative complications is unknown compared to traditional technique. The aim of this study was retrospectively to determine the effect of postoperative sore throat following nasotracheal intubation by tip of the tube is visualized by fiberoptic scope.
      Method: Anesthesia records of the adult patients with nasotracheal intubation were checked. Patients underwent oral maxillofacial surgery from January 2021 until March 2023. Facilitated with rocuronium, nasotracheal intubation was performed using the traditional or observative method by fiberoptic scope with a 4.8 mm outer diameter. Intubation was performed with a cuffed 6.5-8.0 mm ID nasotracheal tube. The following variables were recorded: gender, age, height, weight, ASA classification, anesthesia time, duration of intubation, tube size, intubation attempts, fentanyl and remifentanil. The postoperative sore throat and the incidence of hoarseness were recorded at operative day and at the day after operative day, and the time to recovery.
      Result: A total of 104 cases (traditional fiberoptic intubation n = 51, observative fiberoptic intubation n = 53) were enrolled in this retrospective study. There were no significant differences in clinical characteristics and anesthetic data. There was not significant difference in incidence of postoperative sore throat, hoarseness and recovery between the two groups (P = 0.61, 0.44, 0.90). For subjects reporting postoperative sore throat (n = 30), there was not a significant difference in VAS means at operative day and at the day after operative day between the two groups (P = 0.81, 0.91).
      Conclusion: We found that postoperative sore throat and recovery were not influenced by observative fiberoptic scope for nasotracheal intubation.
      Competing Interests: Declarations Ethics approval and consent to participate The need for informed consent was waived by Kyushu University Institutional Review Board for Clinical Research. Consent for publication Not Applicable. Competing interests The authors declare no competing interests.
      (© 2024. The Author(s).)
    • References:
      Anesth Prog. 2022 Jun 1;69(2):35-37. (PMID: 35849810)
      Anesth Analg. 2020 Apr;130(4):1018-1025. (PMID: 31162158)
      PLoS One. 2021 Mar 8;16(3):e0248296. (PMID: 33684167)
      Eur J Anaesthesiol. 2005 Apr;22(4):307-11. (PMID: 15892411)
      Br J Anaesth. 2009 Sep;103(3):452-5. (PMID: 19556269)
      Eur J Anaesthesiol. 2010 May;27(5):461-7. (PMID: 20090540)
      Br J Anaesth. 2016 Feb;116(2):282-8. (PMID: 26787799)
      Anesth Analg. 2017 Oct;125(4):1240-1245. (PMID: 28368938)
      J Clin Anesth. 2011 Jun;23(4):280-5. (PMID: 21663811)
      J Clin Anesth. 2019 Feb;52:6-16. (PMID: 30153543)
      Anaesthesia. 2016 Jun;71(6):706-17. (PMID: 27158989)
      Trials. 2023 May 27;24(1):358. (PMID: 37237312)
      Int J Oral Maxillofac Surg. 2014 May;43(5):664-5. (PMID: 24530036)
      J Clin Anesth. 2017 Jun;39:113-117. (PMID: 28494884)
      Anesth Prog. 2022 Sep 1;69(3):3-8. (PMID: 36223193)
      Br J Anaesth. 2015 Sep;115(3):463-9. (PMID: 26243647)
      Sci Rep. 2022 Nov 3;12(1):18564. (PMID: 36329088)
      Can J Anaesth. 2015 Oct;62(10):1097-103. (PMID: 26149601)
      Anesth Analg. 2008 Jul;107(1):144-8. (PMID: 18635480)
      Medicine (Baltimore). 2022 Sep 2;101(35):e30372. (PMID: 36107530)
    • Contributed Indexing:
      Keywords: Fiberoptic scope; General anesthesia; Indirect visualization; Nasotracheal intubation; Sore throat
    • Publication Date:
      Date Created: 20241118 Date Completed: 20241119 Latest Revision: 20241121
    • Publication Date:
      20241121
    • Accession Number:
      PMC11571654
    • Accession Number:
      10.1186/s12871-024-02807-z
    • Accession Number:
      39558251