Cochrane · systematic review · CD010105

Supraglottic airway devices versus tracheal intubation for airway management during general anaesthesia in obese patients

Nicholson, A, Cook, TM, Smith, AF, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

AnaesthesiaAMSTAR 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
7
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 1 · 14.3%Very low 1 · 14.3%Low 3 · 42.9%Moderate 1 · 14.3%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

PLMA versus tracheal tube for airway management during general anaesthesia in obese participants

Population: airway management during general anaesthesia in obese participants
7 questions
OutcomeEffectEvidenceStatus / GRADE
Failed placement/change of device
PLMA vs tracheal tube
no estimate extracted2 studies · 118 participantsLow
Downgraded: inconsistency
Episodes of hypoxaemia in PACU < 92% oxygen saturation
PLMA vs tracheal tube
RR 0.27 [0.1, 0.72]1 study · 70 participantsModerate
Downgraded: imprecision
Oxygen saturation of peripheral blood (%) in PACU
PLMA vs tracheal tube
no estimate extracted2 studies · 204 participantsLow
Downgraded: inconsistency
Pulmonary aspiration of gastric contents
PLMA vs tracheal tube
no estimate extracted2 studies · 232 participantsUngraded
Serious respiratory complications and mortality-not reported
PLMA vs tracheal tube
no estimate extractedNRNo studies
Laryngospasm/bronchoconstriction between induction and recovery
PLMA vs tracheal tube
RR 0.5 [0.09, 2.84]2 studies · 232 participantsVery low
Downgraded: risk of bias, imprecision
Time to secure airway
PLMA vs tracheal tube
no estimate extracted1 study · 70 participantsLow
Downgraded: risk of bias, imprecision