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    Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34694

    標題: The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis
    作者: Hung, Kuo-Chuan
    Chang, Ying-Jen
    Chang, Yang-Pei
    Ho, Chun-Ning
    Lan, Kuo-Mao
    Chen, Jen-Yin
    Wang, Li-Kai
    Huang, Ping-Wen
    Sun, Cheuk-Kwan
    貢獻者: Chi Mei Hospital
    Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science
    Department of Recreation and Health-Care Management, Chia Nan University of Pharmacy & Science
    Kaohsiung Medical University
    Kaohsiung Municipal Ta-Tung Hospital
    Kaohsiung Medical University Hospital
    Show Chwan Memorial Hospital
    E-Da Hospital
    I Shou University
    關鍵字: transesophageal echocardiography probe
    cylindrical-shaped cuff
    intracuff pressure
    tracheal intubation
    sore throat
    日期: 2022
    上傳時間: 2023-12-11 14:05:30 (UTC+8)
    摘要: 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 (TM) 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 cmH(2)O, respectively, subgroup analysis: p = 0.15) and after (10.09 and 3.99 cmH(2)O, 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.
    關聯: SCIENTIFIC REPORTS, v.12, Article number: 18192
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