Effects of throat packs in upper airway surgery under intubation anesthesia: a randomized controlled trial

Pabst, Andreas; Müller, Daniel R.; Thiem, Daniel G. E.; Scherhag, Anton; Krüger, Maximilian; Heimes, Diana; Kämmerer, Peer W.

doi:10.1007/s00784-022-04641-4

Cited by 3 publications

(3 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in recent years, several reports have advocated that OPTPs may not deliver all anticipated effects and could be harmful. The pros and cons of using OPTPs remain to be debated [ 2 , 4 , 5 ]. During general anesthesia, a comparative study between a group using OPTPs and a group abstaining from OPTPs reported a higher incidence and severity of sore throat in the group using OPTPs, although there are probably differences due to OPTPs insertion time and insertion method [ 2 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Over-insertion of OPTPs reportedly leads to acute tongue hypertrophy [ 11 , 12 ]. The most serious disadvantage of using OPTPs is the risk of accidental retention, potentially resulting in fatal airway obstruction after extubation when OPTPs are not removed [ 1 , 2 , 4 , 7 , 13 ]. A survey of all acute NHS trusts in the United Kingdom reported six cases of OPTP retention over three years [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, there has been growing momentum to review the use of OPTPs because of their potential effectiveness below expectations and the risk of inadvertent retention [ 4 - 6 ]. We have expressed our opinion that OPTPs remain important in clinical dental anesthesia despite this growing concern [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Survey on the Awareness of the Use of Oropharyngeal Throat Packs in Dental Anesthesia: An International Online Survey

Yamaguchi,

Tsukimoto,

Kuroda

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction: Oropharyngeal throat packs (OPTPs) are frequently used to administer general anesthesia during oral surgery and dental procedures. However, the use of OPTPs has remained controversial, with concerns about their effectiveness, the potential for falling short of expectations, and the inherent risk of serious oversight in removing them. This study aimed to assess the awareness of dental anesthesiologists in the United States of America (USA) and Japan regarding the use of OPTPs. Methods: An online questionnaire was distributed to 41 dental anesthesia education facilities in May 2023 and responses were obtained from 32 facilities. Results: The responses to the questionnaire indicated that dental anesthesiologists in both the USA and Japan believe that using OPTPs during general anesthesia with airway securement is of significant importance, albeit with varying primary purposes for their application. In contrast, notable disparities were observed between the USA and Japan regarding the perceived importance and routine use of OPTPs during open-airway general anesthesia. In both countries, there is a common understanding that the residual risks of OPTPs are severe and that multiple preventive procedures are required. Conclusions: The present study showed that dental anesthesiologists in the USA and Japan believed that the use of OPTPs was generally necessary for dental anesthesia. However, there was a difference in awareness between Japan and the USA regarding the importance of OPTPs for open-airway general anesthesia. Therefore, there should be a consensus among dental anesthesiologists in Japan and the USA on using OPTPs during open-airway general anesthesia in the near future.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Survey on the Awareness of the Use of Oropharyngeal Throat Packs in Dental Anesthesia: An International Online Survey

Yamaguchi,

Tsukimoto,

Kuroda

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

The Pharyngeal Packs for Dental and Otolaryngological Surgery: A Meta-Analysis of High-Quality Randomized Controlled Trials

Xie,

Yao,

Shi

et al. 2024

Ear Nose Throat J

View full text Add to dashboard Cite

Background: Pharyngeal packs are employed to mitigate postoperative nausea and vomiting (PONV) and have become prevalent in dental and otolaryngological surgeries. However, their clinical efficacy continues to be a topic of debate. The objective of the present study was to conduct a quantitative assessment of the impact of pharyngeal packing in dental and otolaryngological surgeries through meta-analysis. Methods: We identified relevant randomized controlled trials (RCTs) through systematic searches of online databases, including PubMed, Embase, and Cochrane Central. Potential eligible studies were evaluated using the Jadad scoring system (range 0-5 points), with only high-quality RCTs (3 points or more) being included. The incidence of PONV, morbidity, and the level of throat pain were aggregated and estimated. Publication bias was evaluated using funnel plot symmetry and the Egger test. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was utilized to rate the evidence. Results: Ten high-quality RCTs comprising 1026 participants were ultimately included. Subsequent quantitative pooled estimation unveiled that the utilization of pharyngeal packing did not lead to a significant reduction in the incidence of nausea ( P = .272), vomiting ( P = .775), overall PONV ( P = .118), or throat pain ( P = .149). By contrast, the application of pharyngeal packs was found to significantly increase the level of throat pain ( P = .003). No obvious publication bias was detected, and the majority of evidence was rated high or moderate. Conclusion: Based on the existing evidence, we conclude that pharyngeal packing lacks clinical benefit and is not advised for dental and otolaryngological surgeries.

show abstract

The Use of Pharyngeal Throat Packs in Dental Anesthesia

Sanuki,

Kishimoto,

Tsukimoto

et al. 2023

Anesthesia Progress

View full text Add to dashboard Cite

Effects of throat packs in upper airway surgery under intubation anesthesia: a randomized controlled trial

Cited by 3 publications

References 50 publications

Survey on the Awareness of the Use of Oropharyngeal Throat Packs in Dental Anesthesia: An International Online Survey

Survey on the Awareness of the Use of Oropharyngeal Throat Packs in Dental Anesthesia: An International Online Survey

The Pharyngeal Packs for Dental and Otolaryngological Surgery: A Meta-Analysis of High-Quality Randomized Controlled Trials

The Use of Pharyngeal Throat Packs in Dental Anesthesia

Contact Info

Product

Resources

About