Hemostatic effect of intranasal hot saline irrigation during endoscopic surgery | |||||
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Patient or population: Chronic rhinosinusitis Setting: Endoscopic sinus surgery Intervention: Hot saline irrigation (48–50 °C) Comparison: Room temperature saline irrigation (18–20 °C) | |||||
Outcomes | Anticipated absolute effects* (95% CI) | Relative effect (95% CI) | № of participants (studies) | Certainty of the evidence (GRADE)* | |
Risk with RTSI | Risk with HSI | ||||
Intraoperative bleeding score | The mean intraoperative bleeding score was 0 | MD 0.51 lower (0.84 lower to 0.18 lower) | – | 212 (3 RCTs) | ⨁◯◯◯ Very lowa,b |
Mean arterial pressure | The mean mean arterial pressure was 0 | MD 0.6 lower (2.17 lower to 0.97 higher) | – | 212 (3 RCTs) | ⨁⨁◯◯ Lowa |
Surgeon’s satisfaction score | 680 per 1000 | 122 per 1,000 (61 to 224) | RR 0.18 (0.09 to 0.33) | 150 (2 RCTs) | ⨁⨁◯◯ Lowa |
Duration of surgery (minutes) | The mean duration of surgery (minutes) was 0 | MD 9.02 lower (11.76 lower to 6.28 lower) | – | 212 (3 RCTs) | ⨁◯◯◯ Very lowa,c |
Amount of blood loss (ml) | The mean amount of blood loss (ml) was 0 | MD 56.4 lower (57.3 lower to 55.51 lower) | – | 212 (3 RCTs) | ⨁⨁◯◯ Lowa |