The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis
Abstract The impact of intraoperative esophageal device insertion (EDI) on endotracheal tube (ET) cuff inflation pressure remains unclear. Electronic databases including Medline, Embase, Google scholar, Web of Science™ and Cochrane Central Register of Controlled Trials were searched for studies invo...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2022-10-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-21980-0 |
| _version_ | 1828317024221134848 |
|---|---|
| author | Kuo-Chuan Hung Ying-Jen Chang Yang-Pei Chang Chun-Ning Ho Kuo-Mao Lan Jen-Yin Chen Li-Kai Wang Ping-Wen Huang Cheuk-Kwan Sun |
| author_facet | Kuo-Chuan Hung Ying-Jen Chang Yang-Pei Chang Chun-Ning Ho Kuo-Mao Lan Jen-Yin Chen Li-Kai Wang Ping-Wen Huang Cheuk-Kwan Sun |
| author_sort | Kuo-Chuan Hung |
| collection | DOAJ |
| description | Abstract The impact of intraoperative esophageal device insertion (EDI) on endotracheal tube (ET) cuff inflation pressure remains unclear. Electronic databases including Medline, Embase, Google scholar, Web of Science™ and Cochrane Central Register of Controlled Trials were searched for studies involving EDI after placement of ETs from inception to July 7, 2022. The primary outcome was risk of high cuff pressure, while the secondary outcomes were increases in cuff pressure following EDI. Difference between adults and children was investigated with subgroup analysis. There were ten eligible studies (observation study, n = 9, randomized controlled study, n = 1) involving a total of 468 participants. EDI notably increased the risk of high cuff pressure (n = 7, risk ratio: 12.82, 95% confidence interval: 4.9 to 33.52, subgroup analysis: p = 0.008). There were significant elevations in cuff pressure in adults and children both during (13.42 and 7.88 cmH2O, respectively, subgroup analysis: p = 0.15) and after (10.09 and 3.99 cmH2O, respectively, subgroup analysis: p = 0.0003) EDI. Our results revealed an over 12-fold increase in the risk of high endotracheal tube cuff pressure in patients, especially adults, receiving EDI under endotracheal anesthesia. There were significant increases in both adults and children despite a higher increase in the former after device insertion. |
| first_indexed | 2024-04-13T17:22:05Z |
| format | Article |
| id | doaj.art-3b23e4386df94163a84faa3eca396265 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-13T17:22:05Z |
| publishDate | 2022-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-3b23e4386df94163a84faa3eca3962652022-12-22T02:37:56ZengNature PortfolioScientific Reports2045-23222022-10-0112111210.1038/s41598-022-21980-0The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysisKuo-Chuan Hung0Ying-Jen Chang1Yang-Pei Chang2Chun-Ning Ho3Kuo-Mao Lan4Jen-Yin Chen5Li-Kai Wang6Ping-Wen Huang7Cheuk-Kwan Sun8Department of Anesthesiology, Chi Mei Medical CenterDepartment of Anesthesiology, Chi Mei Medical CenterDepartment of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical UniversityDepartment of Anesthesiology, Chi Mei Medical CenterDepartment of Anesthesiology, Chi Mei Medical CenterDepartment of Anesthesiology, Chi Mei Medical CenterDepartment of Anesthesiology, Chi Mei Medical CenterDepartment of Emergency Medicine, Show Chwan Memorial HospitalDepartment of Emergency Medicine, E-Da HospitalAbstract The impact of intraoperative esophageal device insertion (EDI) on endotracheal tube (ET) cuff inflation pressure remains unclear. Electronic databases including Medline, Embase, Google scholar, Web of Science™ and Cochrane Central Register of Controlled Trials were searched for studies involving EDI after placement of ETs from inception to July 7, 2022. The primary outcome was risk of high cuff pressure, while the secondary outcomes were increases in cuff pressure following EDI. Difference between adults and children was investigated with subgroup analysis. There were ten eligible studies (observation study, n = 9, randomized controlled study, n = 1) involving a total of 468 participants. EDI notably increased the risk of high cuff pressure (n = 7, risk ratio: 12.82, 95% confidence interval: 4.9 to 33.52, subgroup analysis: p = 0.008). There were significant elevations in cuff pressure in adults and children both during (13.42 and 7.88 cmH2O, respectively, subgroup analysis: p = 0.15) and after (10.09 and 3.99 cmH2O, respectively, subgroup analysis: p = 0.0003) EDI. Our results revealed an over 12-fold increase in the risk of high endotracheal tube cuff pressure in patients, especially adults, receiving EDI under endotracheal anesthesia. There were significant increases in both adults and children despite a higher increase in the former after device insertion.https://doi.org/10.1038/s41598-022-21980-0 |
| spellingShingle | Kuo-Chuan Hung Ying-Jen Chang Yang-Pei Chang Chun-Ning Ho Kuo-Mao Lan Jen-Yin Chen Li-Kai Wang Ping-Wen Huang Cheuk-Kwan Sun The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis Scientific Reports |
| title | The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis |
| title_full | The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis |
| title_fullStr | The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis |
| title_full_unstemmed | The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis |
| title_short | The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis |
| title_sort | impact of esophageal device insertion on cuff pressure of endotracheal tube a literature review and meta analysis |
| url | https://doi.org/10.1038/s41598-022-21980-0 |
| work_keys_str_mv | AT kuochuanhung theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT yingjenchang theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT yangpeichang theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT chunningho theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT kuomaolan theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT jenyinchen theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT likaiwang theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT pingwenhuang theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT cheukkwansun theimpactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT kuochuanhung impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT yingjenchang impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT yangpeichang impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT chunningho impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT kuomaolan impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT jenyinchen impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT likaiwang impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT pingwenhuang impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis AT cheukkwansun impactofesophagealdeviceinsertiononcuffpressureofendotrachealtubealiteraturereviewandmetaanalysis |