Cochrane · systematic review · CD009901

Laryngeal mask airway versus endotracheal tube for percutaneous dilatational tracheostomy in critically ill adults

Strametz, R, Bergold, MN, Weberschock, T · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Emergency and Critical Care2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 60%Low 2 · 40%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Laryngeal mask airway (LMA) compared to endotracheal tube (ETT) for percutaneous dilatational tracheostomy in critically ill adults

Population: critically ill adults undergoing percutaneous dilatational tracheostomy
CD009901.PUB3 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality during hospital stay
Laryngeal mask airway (LMA) vs endotracheal tube (ETT)
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Procedure‐related mortality during procedure or
Laryngeal mask airway (LMA) vs endotracheal tube (ETT)
no estimate extracted5 studies · 281 participantsVery low
Downgraded: risk of bias, imprecision
Tally of participants with one or more serious adverse event(s) during procedure or within 24 hours after procedure
Laryngeal mask airway (LMA) vs endotracheal tube (ETT)
RR 0.86 [0.41, 1.8]8 studies · 467 participantsVery low
Downgraded: risk of bias, imprecision
Duration of procedure (minutes)
Laryngeal mask airway (LMA) vs endotracheal tube (ETT)
no estimate extracted6 studies · 324 participantsLow
Downgraded: risk of bias, imprecision
Failure of procedure, requiring conversion to any other procedure
Laryngeal mask airway (LMA) vs endotracheal tube (ETT)
RR 2.82 [1.22, 6.52]8 studies · 439 participantsLow
Downgraded: risk of bias, imprecision

ETT versus LMA for percutaneous dilatational tracheostomy in critically ill adult patients

Population: patients with percutaneous dilatational tracheostomy in critically ill adult patients
CD009901.PUB2 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Overall mortality
ETT vs LMA
RR 1.5 [0.28, 8.04]1 study · 40 participantsLow
Downgraded: imprecision
Tally of patients with one or more serious adverse events
ETT vs LMA
RR 0.73 [0.35, 1.52]7 studies · 417 participantsLow
Downgraded: imprecision
Duration of procedure
ETT vs LMA
no estimate extracted6 studies · 324 participantsLow
Downgraded: imprecision
Failure of procedure requiring conversion
ETT vs LMA
RR 2.3 [0.56, 9.39]7 studies · 384 participantsLow
Downgraded: imprecision