The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis

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Title:	The impact of esophageal device insertion on cuff pressure of endotracheal tube: a literature review and meta-analysis
Authors:	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
Contributors:	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
Keywords:	transesophageal echocardiography probe cylindrical-shaped cuff intracuff pressure tracheal intubation sore throat volume obstruction complication aspiration placement
Date:	2022
Issue Date:	2023-12-11 14:05:30 (UTC+8)
Publisher:	NATURE PORTFOLIO
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 (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.
Relation:	SCIENTIFIC REPORTS, v.12, n.CB2, pp.CC2, pp.-,
Appears in Collections:	[Offices] 123

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