Efficacy and safety of endoscopy-specific dual-channel supraglottic airways for upper gastrointestinal endoscopic and transesophageal instrumentation procedures: a systematic review and meta-analysis - Scorecard - MDSpire
Advertisement
Assessment of the effectiveness and safety of dual-channel supraglottic airways tailored for upper gastrointestinal endoscopic and transesophageal procedures: a systematic review and meta-analysis
Clinical Scorecard: Assessment of the effectiveness and safety of dual-channel supraglottic airways tailored for upper gastrointestinal endoscopic and transesophageal procedures: a systematic review and meta-analysis
At a Glance
Category
Detail
Condition
Upper gastrointestinal endoscopic procedures and transesophageal instrumentation
Key Mechanisms
Use of dual-channel supraglottic airways (dc-SGAs) to maintain ventilation while allowing endoscope or probe passage
Target Population
Patients undergoing upper gastrointestinal endoscopic and transesophageal procedures
Care Setting
Endoscopy and anesthesia settings
Key Highlights
dc-SGAs showed comparable first-attempt airway device and endoscope/probe insertion success to comparator strategies.
dc-SGAs reduced intraoperative hypoxemia compared to non-invasive oxygen therapy.
Postoperative sore throat incidence varied depending on the comparator used.
Airway device insertion time was shorter with dc-SGAs.
Evidence quality for dc-SGAs is low to moderate.
Guideline-Based Recommendations
Diagnosis
Management
Consider dc-SGAs for airway management during upper GI endoscopic and transesophageal procedures.
Monitoring & Follow-up
Risks
Postoperative sore throat may occur more frequently compared to non-invasive oxygen therapy.
Patient & Prescribing Data
Patients with significant comorbidities undergoing upper GI endoscopic procedures.
dc-SGAs may provide a less invasive option than endotracheal intubation while facilitating oxygenation.
Clinical Best Practices
Evaluate the appropriateness of dc-SGAs based on individual patient risk factors and procedural requirements.
Monitor for intraoperative hypoxemia and postoperative complications such as sore throat.
