Letter to the editor regarding “Combined use of the ProSeal laryngeal mask airway and a bronchial blocker vs. a double-lumen endobronchial tube in thoracoscopic surgery: A randomized controlled trial”

[...]other than continuous thoracic epidural analgesia and paravertebral block in most patients and patient-controlled analgesia with fentanyl in few patients, the readers were not provided the details of postoperative pain control. According to the data in the table 1 of Nakanishi et al’ article [1], some patients in both group received acetaminophen, flurbiprofen and dexamethasone during surgery. [...]the current enhanced recovery after surgery protocols for thoracoscopic surgery recommend an opioid-sparing multimodal analgesic strategy including local blocks and a serial of basic analgesics, such as acetaminophen, non-steroidal anti-inflammatory drugs and dexamethasone, and require that administration of these basic analgesics should be initiated before or during surgery and regularly repeated after surgery [4]. [...]available literatures demonstrate that pharyngolaryngeal adverse complications caused by DLET and LMA are more frequent and more severe within 6 h after surgery and then gradually decrease over time [6,7].