Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis
Background. Use of laryngeal mask airway as an alternative to the endotracheal tube has attracted the attention of several workers with regard to intraocular pressure changes. However, the previous studies have reported different results while comparing intraocular pressure, following insertion of l...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/7858434 |
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| author | Mohammed Suleiman Obsa Zewde Zema kanche Robera Olana Fite Tilahun Saol Tura Bulcha Guye Adema Aseb Arba Kinfe Melkamu Worku kercho Kebreab Paulos chanko Getahun Molla Shanka Atkuregn Alemayehu Lencha Gedion Asnake Azeze Lolemo Kelbiso Hanfore Nefsu Awoke Adulo Blen Kassahun Dessu Getahun Dendir Wolde Shimelash Bitew Workie |
| author_facet | Mohammed Suleiman Obsa Zewde Zema kanche Robera Olana Fite Tilahun Saol Tura Bulcha Guye Adema Aseb Arba Kinfe Melkamu Worku kercho Kebreab Paulos chanko Getahun Molla Shanka Atkuregn Alemayehu Lencha Gedion Asnake Azeze Lolemo Kelbiso Hanfore Nefsu Awoke Adulo Blen Kassahun Dessu Getahun Dendir Wolde Shimelash Bitew Workie |
| author_sort | Mohammed Suleiman Obsa |
| collection | DOAJ |
| description | Background. Use of laryngeal mask airway as an alternative to the endotracheal tube has attracted the attention of several workers with regard to intraocular pressure changes. However, the previous studies have reported different results while comparing intraocular pressure, following insertion of laryngeal mask airway or the endotracheal tube. Therefore, this systematic review and meta-analysis was aimed to generate the best possible evidence on the intraocular pressure response to endotracheal tube intubation and laryngeal mask airway insertion. Methods. Electronic databases like PubMed, CINAHL, EMBASE, Google Scholar, Cochrane library databases, and Mednar were used. All original peer-reviewed papers which reported the mean and standard deviation of IOP before and after airway instrumentation in both groups were included. Two reviewers independently extracted the data using a standardized data extraction format for eligibility and appraised their quality. Data were analyzed using the STATA version 14 software. The pooled standard mean difference was estimated with the random-effect model. Heterogeneity between studies was assessed by the I2 statistics test. A subgroup analysis was done to assess the source of variation between the studies. Result. A total of 47 research papers were reviewed, of which, six studies were finally included in this systematic review and meta-analysis. The overall pooled standard mean difference of intraocular pressure was 1.30 (95% CI, 0.70, 1.90), showing that LMA insertion is better than ETT intubation to maintain stable intraocular pressure. A random-effect model was employed to estimate the pooled standard mean differences due to severe heterogeneity (I2 79.45, p ≤ 0.001). Conclusion. The available information suggests that the LMA provides lesser intraocular pressure response in comparison with the conventional tracheal tube. |
| format | Article |
| id | doaj-art-551a1a0ca9ae4394a9d18ac73861b614 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-551a1a0ca9ae4394a9d18ac73861b6142025-02-03T01:24:56ZengWileyAnesthesiology Research and Practice1687-69621687-69702020-01-01202010.1155/2020/78584347858434Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-AnalysisMohammed Suleiman Obsa0Zewde Zema kanche1Robera Olana Fite2Tilahun Saol Tura3Bulcha Guye Adema4Aseb Arba Kinfe5Melkamu Worku kercho6Kebreab Paulos chanko7Getahun Molla Shanka8Atkuregn Alemayehu Lencha9Gedion Asnake Azeze10Lolemo Kelbiso Hanfore11Nefsu Awoke Adulo12Blen Kassahun Dessu13Getahun Dendir Wolde14Shimelash Bitew Workie15School of Anesthesia, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Pharmacy, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Nursing, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Nursing, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Nursing, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Nursing, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Midwifery, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Midwifery, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Medicine, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Public Health, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Midwifery, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Nursing, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Nursing, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Anesthesia, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Anesthesia, Wolaita Soddo University, Wolaita Soddo, EthiopiaSchool of Public Health, Wolaita Soddo University, Wolaita Soddo, EthiopiaBackground. Use of laryngeal mask airway as an alternative to the endotracheal tube has attracted the attention of several workers with regard to intraocular pressure changes. However, the previous studies have reported different results while comparing intraocular pressure, following insertion of laryngeal mask airway or the endotracheal tube. Therefore, this systematic review and meta-analysis was aimed to generate the best possible evidence on the intraocular pressure response to endotracheal tube intubation and laryngeal mask airway insertion. Methods. Electronic databases like PubMed, CINAHL, EMBASE, Google Scholar, Cochrane library databases, and Mednar were used. All original peer-reviewed papers which reported the mean and standard deviation of IOP before and after airway instrumentation in both groups were included. Two reviewers independently extracted the data using a standardized data extraction format for eligibility and appraised their quality. Data were analyzed using the STATA version 14 software. The pooled standard mean difference was estimated with the random-effect model. Heterogeneity between studies was assessed by the I2 statistics test. A subgroup analysis was done to assess the source of variation between the studies. Result. A total of 47 research papers were reviewed, of which, six studies were finally included in this systematic review and meta-analysis. The overall pooled standard mean difference of intraocular pressure was 1.30 (95% CI, 0.70, 1.90), showing that LMA insertion is better than ETT intubation to maintain stable intraocular pressure. A random-effect model was employed to estimate the pooled standard mean differences due to severe heterogeneity (I2 79.45, p ≤ 0.001). Conclusion. The available information suggests that the LMA provides lesser intraocular pressure response in comparison with the conventional tracheal tube.http://dx.doi.org/10.1155/2020/7858434 |
| spellingShingle | Mohammed Suleiman Obsa Zewde Zema kanche Robera Olana Fite Tilahun Saol Tura Bulcha Guye Adema Aseb Arba Kinfe Melkamu Worku kercho Kebreab Paulos chanko Getahun Molla Shanka Atkuregn Alemayehu Lencha Gedion Asnake Azeze Lolemo Kelbiso Hanfore Nefsu Awoke Adulo Blen Kassahun Dessu Getahun Dendir Wolde Shimelash Bitew Workie Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis Anesthesiology Research and Practice |
| title | Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis |
| title_full | Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis |
| title_fullStr | Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis |
| title_full_unstemmed | Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis |
| title_short | Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis |
| title_sort | effect of laryngeal mask airway insertion on intraocular pressure response systematic review and meta analysis |
| url | http://dx.doi.org/10.1155/2020/7858434 |
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