Comparison of Jaw Elevation Device vs. Conventional Airway Assist during Sedation in Chronic Kidney Diseases Undergoing Arteriovenous Fistula Surgery: A Randomized Controlled Trial
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Conventional Group n = 39 | JED Group n = 34 | p Value | |||
---|---|---|---|---|---|
Median (IQR) | 95% CI | Median (IQR) | 95% CI | ||
Age (year) | 64.0 (55.8–71.5) | 61.9–69.0 | 61.5 (54.0–67.0) | 55.0–65.0 | 0.234 |
Weight (kg) | 64.7 (58.5–70.7) | 60.5–69.3 | 66.2 (55.5–71.7) | 58.9–69.2 | 0.867 |
Height (cm) | 165.7 (159.1–168.8) | 160.0–168.0 | 167.5 (160.0–171.0) | 164.5–170.0 | 0.279 |
Male | 25 (64.1%) | 23 (67.6%) | 0.808 | ||
Diabetes Mellitus (%) | 22 (56.4%) | 17 (51.5%) | 0.813 | ||
Hypertension (%) | 33 (84.6%) | 27 (79.4%) | 0.760 | ||
History of obstructive sleep apnea (%) | 4 (10.3%) | 6 (17.6%) | 0.499 | ||
STOP-BANG score 1 | 4.0 (2.5–5.0) | 3.0–4.1 | 3.5 (3.0–5.0) | 3.0–4.2 | 0.860 |
Conventional Group n = 39 | JED Group n = 34 | p Value | |||
---|---|---|---|---|---|
Median (IQR) | 95% CI | Median (IQR) | 95% CI | ||
Surgery duration (min) | 83.0 (73.8–100.0) | 77.9–91.1 | 88.0 (77.0–97.0) | 81.7–92.5 | 0.756 |
Intravenous crystalloid fluid (mL) | 170.0 (150.0–250.0) | 150–250 | 200.0 (150.0–300.0) | 150.0–300.0 | 0.528 |
Midazolam (mg) | 1.0 (1.0–1.0) | 0.0–1.0 | 1.0 (1.0–1.0) | 0.0–1.0 | 0.507 |
Hourly infused propofol (mg) | 2.49 (2.08–3.12) | 2.21–2.82 | 2.66 (2.02–3.12) | 2.14–3.01 | 0.748 |
Hourly infused remifentanil (mcg) | 1.92 (1.54–2.38) | 1.66–2.10 | 2.07 (1.61–2.54) | 1.74–2.31 | 0.494 |
Bispectral index (BIS) (n) | |||||
Value ranges 60–80 | 29 (74.4%) | 23 (67.6%) | |||
Value ranges/40–60 | 9 (23.0%) | 11 (32.4%) | |||
BIS fail | 1 (2.6%) | 0 (0%) | 0.436 |
Conventional Group n = 39 | JED Group n = 34 | p Value | |||
---|---|---|---|---|---|
Median (IQR) | 95% CI | Median (IQR) | 95% CI | ||
Number of additional airway interventions in each patient, n | 1 (0.0–2.0) | 0–1.0 | 0 (0.0–0.0) | 0.0–0.0 | 0.002 |
Number (%) of patients in each group with no requirement for additional airway interventions, n (%) | 17 (43.6%) | 26 (76.5%) | 0.004 | ||
Number (%) of patients in each group with additional airway interventions applied during sedation | |||||
(1) head lateral rotation | 18 (46.2%) | 1 (2.9%) | <0.001 | ||
(2) neck extension | 8 (20.5%) | 1 (2.9%) | 0.032 | ||
(3) oral airway insertion | 12 (30.8%) | 5 (14.7%) | 0.165 | ||
(4) nasal airway insertion | 0 (0%) | 1 (2.9%) | 0.466 | ||
(5) jaw thrust maneuver | 3 (7.7%) | 5 (14.7%) | 0.460 |
Conventional Group n = 36 | JED Group n = 31 | ||||
---|---|---|---|---|---|
Median (IQR) | 95% CI | Median (IQR) | 95% CI | p value | |
Polysomnography analysis time (min) | 77 (70.5–88.0) | 72.0–81.7 | 82 (74.5–91.8) | 77.6–90.4 | 0.280 |
AHI | 9.3 (3.8–21.9) | 6.1–17.9 | 4.5 (1.5–11.9) | 1.7–7.6 | 0.015 |
Snoring time (min) | 45.7 (29.7–56.0) | 37.3–54.8 | 39.2 (23.2–57.3) | 30.6–53.9 | 0.440 |
Relative snoring time per analysis (%) | 63.8 (43.5–77.3) | 53.5–69.8 | 46.3 (27.9–76.5) | 39.8–70.9 | 0.228 |
Average SpO2 | 98.9 (98.3–99.4) | 98.5–99.2 | 99.2 (98.4–99.9) | 98.9–99.4 | 0.206 |
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Lee, S.H.; Jeong, J.S.; Jang, J.; Shin, Y.H.; Gil, N.-S.; Choi, J.-w.; Hahm, T.S. Comparison of Jaw Elevation Device vs. Conventional Airway Assist during Sedation in Chronic Kidney Diseases Undergoing Arteriovenous Fistula Surgery: A Randomized Controlled Trial. J. Clin. Med. 2021, 10, 2280. https://doi.org/10.3390/jcm10112280
Lee SH, Jeong JS, Jang J, Shin YH, Gil N-S, Choi J-w, Hahm TS. Comparison of Jaw Elevation Device vs. Conventional Airway Assist during Sedation in Chronic Kidney Diseases Undergoing Arteriovenous Fistula Surgery: A Randomized Controlled Trial. Journal of Clinical Medicine. 2021; 10(11):2280. https://doi.org/10.3390/jcm10112280
Chicago/Turabian StyleLee, Sang Hyun, Ji Seon Jeong, Jaeni Jang, Young Hee Shin, Nam-Su Gil, Ji-won Choi, and Tae Soo Hahm. 2021. "Comparison of Jaw Elevation Device vs. Conventional Airway Assist during Sedation in Chronic Kidney Diseases Undergoing Arteriovenous Fistula Surgery: A Randomized Controlled Trial" Journal of Clinical Medicine 10, no. 11: 2280. https://doi.org/10.3390/jcm10112280