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https://ir.cnu.edu.tw/handle/310902800/34694
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| 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
Chia Nan University of Pharmacy & Science
Chia Nan University of Pharmacy & Science
Kaohsiung Medical University
Kaohsiung Municipal Ta-Tung Hospital
Kaohsiung Medical University
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
volume
obstruction
complication
aspiration
placement |
| 日期: | 2022 |
| 上傳時間: | 2023-12-11 14:05:30 (UTC+8) |
| 出版者: | NATURE PORTFOLIO |
| 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, n.CB2, pp.CC2, pp.-, |
| 顯示於類別: | [行政單位] 123
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