{"id":"https://openalex.org/W7203833459","doi":"https://doi.org/10.4103/ija.ija_607_26","title":"Deep extubation versus no-touch awake extubation in adults undergoing elective laparotomy: A randomised controlled trial","display_name":"Deep extubation versus no-touch awake extubation in adults undergoing elective laparotomy: A randomised controlled trial","publication_year":2026,"publication_date":"2026-08-01","ids":{"openalex":"https://openalex.org/W7203833459","doi":"https://doi.org/10.4103/ija.ija_607_26","pmid":"https://pubmed.ncbi.nlm.nih.gov/42719482","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13557729"},"language":"en","primary_location":{"id":"doi:10.4103/ija.ija_607_26","doi":"https://doi.org/10.4103/ija.ija_607_26","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ija.ija_607_26","pdf_url":null,"source":{"id":"https://openalex.org/S174280328","display_name":"Indian Journal of Anaesthesia","issn_l":"0019-5049","issn":["0019-5049","0976-2817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Anaesthesia","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.4103/ija.ija_607_26","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5081794607","display_name":"Sathya Narayanan K","orcid":"https://orcid.org/0000-0002-9348-7190","observed_orcids":["https://orcid.org/0000-0002-9348-7190"]},"institutions":[{"id":"https://openalex.org/I876098953","display_name":"Bangalore Medical College and Research Institute","ror":"https://ror.org/05qmk4a18","country_code":"IN","type":"education","lineage":["https://openalex.org/I286135121","https://openalex.org/I876098953"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"K. Sathya Narayanan","raw_affiliation_strings":["Department of Critical Care Medicine, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India"],"raw_orcid":"https://orcid.org/0000-0002-9348-7190","affiliations":[{"raw_affiliation_string":"Department of Critical Care Medicine, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India","institution_ids":["https://openalex.org/I876098953"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041130505","display_name":"Praveen Ramasamy","orcid":"https://orcid.org/0009-0003-9924-301X","observed_orcids":["https://orcid.org/0009-0003-9924-301X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R. Praveen","raw_affiliation_strings":["Department of Anaesthesiology, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India"],"raw_orcid":"https://orcid.org/0009-0003-9924-301X","affiliations":[{"raw_affiliation_string":"Department of Anaesthesiology, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111103738","display_name":"Premkumar Damodaran","orcid":"https://orcid.org/0000-0001-6343-607X","observed_orcids":["https://orcid.org/0000-0001-6343-607X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D. Premkumar","raw_affiliation_strings":["Department of Anaesthesiology, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India"],"raw_orcid":"https://orcid.org/0000-0001-6343-607X","affiliations":[{"raw_affiliation_string":"Department of Anaesthesiology, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013044045","display_name":"Navya Mishra","orcid":"https://orcid.org/0000-0003-3028-9848","observed_orcids":["https://orcid.org/0000-0003-3028-9848"]},"institutions":[{"id":"https://openalex.org/I4210117092","display_name":"All India Institute of Medical Sciences Bhubaneswar","ror":"https://ror.org/029mnbn96","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210117092"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Navya Mishra","raw_affiliation_strings":["Department of Anaesthesiology, AIIMS Bhubaneshwar, Bhubaneshwar, Odisha, India"],"raw_orcid":"https://orcid.org/0000-0003-3028-9848","affiliations":[{"raw_affiliation_string":"Department of Anaesthesiology, AIIMS Bhubaneshwar, Bhubaneshwar, Odisha, India","institution_ids":["https://openalex.org/I4210117092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108355646","display_name":"Jethroben Kevin","orcid":"https://orcid.org/0009-0004-0169-3563","observed_orcids":["https://orcid.org/0009-0004-0169-3563"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jethroben Kevin","raw_affiliation_strings":["Department of Critical Care Medicine, Kauvery Hospital, Chennai, Tamil Nadu, India"],"raw_orcid":"https://orcid.org/0009-0004-0169-3563","affiliations":[{"raw_affiliation_string":"Department of Critical Care Medicine, Kauvery Hospital, Chennai, Tamil Nadu, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5009048405","display_name":"Sundaram Loganathan","orcid":"https://orcid.org/0000-0002-8928-5561","observed_orcids":["https://orcid.org/0000-0002-8928-5561","https://orcid.org/0000-0001-5814-1314"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sundaram Loganathan","raw_affiliation_strings":["Department of Anaesthesiology, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India"],"raw_orcid":"https://orcid.org/0000-0001-5814-1314","affiliations":[{"raw_affiliation_string":"Department of Anaesthesiology, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5081794607"],"corresponding_institution_ids":["https://openalex.org/I876098953"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"70","issue":"8","first_page":"890","last_page":"897"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":0.9150000214576721,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":0.9150000214576721,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.07509999722242355,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.0034000000450760126,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/extubation","display_name":"extubation","score":0.9559999704360962},{"id":"https://openalex.org/keywords/elective-laparotomy","display_name":"elective laparotomy","score":0.7680000066757202},{"id":"https://openalex.org/keywords/postoperative-cough","display_name":"postoperative cough","score":0.7509999871253967},{"id":"https://openalex.org/keywords/reintubation","display_name":"reintubation","score":0.843999981880188},{"id":"https://openalex.org/keywords/postoperative-recovery","display_name":"postoperative recovery","score":0.656000018119812},{"id":"https://openalex.org/keywords/hemodynamic-response","display_name":"hemodynamic response","score":0.7680000066757202},{"id":"https://openalex.org/keywords/general-anesthesia","display_name":"general anesthesia","score":0.7799999713897705}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9767000079154968},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.824400007724762},{"id":"https://openalex.org/C105922876","wikidata":"https://www.wikidata.org/wiki/Q1423981","display_name":"Airway","level":2,"score":0.669700026512146},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.6531000137329102},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.6444000005722046},{"id":"https://openalex.org/C2781312054","wikidata":"https://www.wikidata.org/wiki/Q5354947","display_name":"Elective surgery","level":2,"score":0.42739999294281006},{"id":"https://openalex.org/C2777953023","wikidata":"https://www.wikidata.org/wiki/Q1073121","display_name":"Heart rate","level":3,"score":0.413100004196167},{"id":"https://openalex.org/C2778716859","wikidata":"https://www.wikidata.org/wiki/Q939018","display_name":"Intubation","level":2,"score":0.4115999937057495},{"id":"https://openalex.org/C2993314993","wikidata":"https://www.wikidata.org/wiki/Q466833","display_name":"American society of anesthesiologists","level":2,"score":0.3977999985218048},{"id":"https://openalex.org/C2778333281","wikidata":"https://www.wikidata.org/wiki/Q4330029","display_name":"Airway obstruction","level":3,"score":0.3847000002861023},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.33059999346733093},{"id":"https://openalex.org/C2775867611","wikidata":"https://www.wikidata.org/wiki/Q1024207","display_name":"Positive airway pressure","level":3,"score":0.32420000433921814},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.31299999356269836},{"id":"https://openalex.org/C2780978852","wikidata":"https://www.wikidata.org/wiki/Q286949","display_name":"Airway management","level":3,"score":0.311599999666214},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.29330000281333923},{"id":"https://openalex.org/C8213797","wikidata":"https://www.wikidata.org/wiki/Q754250","display_name":"Respiratory rate","level":4,"score":0.2768000066280365},{"id":"https://openalex.org/C2779547634","wikidata":"https://www.wikidata.org/wiki/Q5165502","display_name":"Continuous positive airway pressure","level":3,"score":0.25999999046325684},{"id":"https://openalex.org/C2778029997","wikidata":"https://www.wikidata.org/wiki/Q750195","display_name":"Tracheal intubation","level":3,"score":0.25949999690055847}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.4103/ija.ija_607_26","doi":"https://doi.org/10.4103/ija.ija_607_26","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ija.ija_607_26","pdf_url":null,"source":{"id":"https://openalex.org/S174280328","display_name":"Indian Journal of Anaesthesia","issn_l":"0019-5049","issn":["0019-5049","0976-2817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Anaesthesia","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13557729","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13557729/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13557729/pdf/IJA-70-890.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian J Anaesth","raw_type":"Text"},{"id":"pmid:42719482","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42719482","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian journal of anaesthesia","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:d4381c31d2de432e8a43a2f00a38f8ee","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/d4381c31d2de432e8a43a2f00a38f8ee","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Indian Journal of Anaesthesia, Vol 70, Iss 8, Pp 890-897 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4103/ija.ija_607_26","doi":"https://doi.org/10.4103/ija.ija_607_26","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ija.ija_607_26","pdf_url":null,"source":{"id":"https://openalex.org/S174280328","display_name":"Indian Journal of Anaesthesia","issn_l":"0019-5049","issn":["0019-5049","0976-2817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Anaesthesia","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/randomized-controlled-trial","display_name":"Randomized Controlled Trial"},{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203833459.pdf","grobid_xml":"https://content.openalex.org/works/W7203833459.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W1987426280","https://openalex.org/W2006220716","https://openalex.org/W2007263366","https://openalex.org/W2751600378","https://openalex.org/W3016035635","https://openalex.org/W3097973262","https://openalex.org/W3123368773","https://openalex.org/W3211620673","https://openalex.org/W4214832976","https://openalex.org/W4321097808","https://openalex.org/W4391172323","https://openalex.org/W4400236513","https://openalex.org/W4412793372","https://openalex.org/W4414748690"],"related_works":["https://openalex.org/W4412793372","https://openalex.org/W2007263366","https://openalex.org/W4411916124","https://openalex.org/W2896331762","https://openalex.org/W7220640429","https://openalex.org/W3097973262","https://openalex.org/W2089347227","https://openalex.org/W4214832976","https://openalex.org/W4388108046","https://openalex.org/W7128695503"],"abstract_inverted_index":{"Background":[0],"and":[1,20,94,105,120,139,147,156,178],"Aims:":[2],"Tracheal":[3],"extubation":[4,13,28,32,62,68,133,177],"is":[5],"a":[6,182],"vulnerable":[7],"phase":[8],"of":[9,48,81,175],"general":[10],"anaesthesia.":[11],"Smooth":[12],"strategies":[14],"aim":[15],"to":[16,60],"reduce":[17,137,165],"cough,":[18],"bucking,":[19],"the":[21],"sympathetic":[22],"surge.":[23],"This":[24,39],"trial":[25,44],"compared":[26],"deep":[27,61,176],"with":[29,142],"no-touch":[30,66],"awake":[31,67],"in":[33,114,125,160,181],"adults":[34,54],"undergoing":[35],"elective":[36,57],"laparotomy.":[37],"Methods:":[38],"prospective,":[40],"randomised,":[41],"partially":[42],"outcome-assessor-blinded":[43],"enroled":[45],"American":[46],"Society":[47],"Anesthesiologists":[49],"(ASA)":[50],"physical":[51],"status":[52],"I-II":[53],"scheduled":[55],"for":[56,102],"laparotomy,":[58],"allocated":[59],"(Group":[63,69],"D)":[64],"or":[65],"N).":[70],"The":[71,117,168],"primary":[72],"outcome":[73],"was":[74,140],"cough":[75,86,138,159],"(grade":[76],"\u22651)":[77],"within":[78],"five":[79],"minutes":[80],"extubation.":[82],"Secondary":[83],"outcomes":[84],"were":[85,112,123],"severity,":[87],"airway":[88,91,103,148],"adverse":[89,145],"events,":[90],"support,":[92,104],"haemodynamics,":[93],"recovery":[95,154],"characteristics.":[96],"Results:":[97],"=":[98],"0.028),":[99],"greater":[100],"need":[101,179],"four":[106],"re-intubations":[107],"versus":[108],"none.":[109],"Recovery":[110],"times":[111,155],"shorter":[113],"Group":[115,126,161],"D.":[116],"heart":[118],"rate":[119],"blood":[121],"pressure":[122],"higher":[124],"N":[127],"during":[128],"early":[129],"recovery.":[130],"Conclusion:":[131],"Deep":[132],"did":[134,163],"not":[135,164,171],"significantly":[136],"associated":[141],"more":[143],"airway-related":[144],"events":[146],"support":[149,172],"needs,":[150],"including":[151],"reintubation.":[152],"Shorter":[153],"less":[157],"moderate-to-severe":[158],"D":[162],"these":[166],"risks.":[167],"findings":[169],"do":[170],"routine":[173],"use":[174],"confirmation":[180],"larger,":[183],"adequately":[184],"powered":[185],"trial.":[186]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-21T00:00:00"}