ArticleIntensive care medicine2004
Endotracheal tube intraluminal diameter narrowing after mechanical ventilation: use of acoustic reflectometry.
Article in Intensive care medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01765530 (Endotracheal Tubes Cleaned With a Novel Mechanism for Secretions Removal), which is not on this map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Endotracheal Tubes Cleaned With a Novel Mechanism for Secretions Removal
Who cites it
15 citing papers in PubMed, 74 citations in OpenAlex.
- A clinical assessment of the Mucus Shaver: a device to keep the endotracheal tube free from secretions.Critical care medicine · 2012Trial
- Best clinical model predicting extubation failure: a diagnostic accuracy post hoc analysis.Intensive care medicine · 2025Article
- Evaluation of a novel endotracheal tube suctioning system incorporating an inflatable sweeper.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2021Article
- Article
- Sound level analysis in endotracheal tube obstruction in spontaneous breathing and mechanical ventilation-an animal model study.Journal of clinical monitoring and computing · 2017Article
- Micropatterned Endotracheal Tubes Reduce Secretion-Related Lumen Occlusion.Annals of biomedical engineering · 2016Article
- Measurement of endotracheal tube secretions volume by micro computed tomography (MicroCT) scan: an experimental and clinical study.BMC anesthesiology · 2014Observational
- Sound analysis in an in vitro endotracheal tube model.The Korean journal of internal medicine · 2011Article
- Comparison of the effects of two humidifier systems on endotracheal tube resistance.Intensive care medicine · 2011Article
- Reduction of Endotracheal Tube Biofilms Using Antimicrobial Photodynamic Therapy.Lasers in surgery and medicine · 2011Article
- Tracheal pressure and endotracheal tube obstruction can be detected by continuous cuff pressure monitoring: in vitro pilot study.Intensive care medicine · 2010Article
- Antibacterial-coated tracheal tubes cleaned with the Mucus Shaver : a novel method to retain long-term bactericidal activity of coated tracheal tubes.Intensive care medicine · 2006Article
- Abnormally increased power of breathing as a complication of closed endotracheal suction catheter systems.Respiratory care · 2006Article
- Year in review in intensive care medicine, 2004. I. Respiratory failure, infection, and sepsis.Intensive care medicine · 2005Review
- Humidification during mechanical ventilation to prevent endotracheal tube occlusion in critically ill patients: A case control study.Annals of thoracic medicineArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo quantify the incidence and degree of endotracheal tube intraluminal obstruction after mechanical ventilation and its relation to time of intubation.
designProspective observational study.
settingA 14-bed medical-surgical intensive care unit at a university-affiliated teaching hospital. PATIENTS: Ninety-four endotracheal tubes used in 80 patients requiring mechanical ventilation for more than 12 h. INTERVENTIONS AND
resultsAcoustic reflectometry was performed in every endotracheal tube after patient extubation to measure its volume reduction. The intraluminal volumes of used endotracheal tubes in mechanically ventilated patients were significantly lower than those of unused tubes of the same size (5.52+/-0.92 ml(3) versus 6.54+/-0.79 ml(3), p<0.05). The mean difference in endotracheal tube segment volumes was 15.2% (range 0-66%). Volume reduction was above 10% in 60.8% of the tubes. In 22% of endotracheal tubes the remaining inner diameter was less than 7 mm. Reduction below this figure was less frequent (9.3%) in tubes 8 mm or more (p<0.05). The percentage of endotracheal tube volume reduction was not associated with the duration of intubation (r=-0.09, p= n.s.) Peak pressure measured before extubation did not predict obstruction (r=0.11, p= n.s.).
conclusionsInadvertent endotracheal tube obstruction was common in patients requiring mechanical ventilation and may be significant as early as at 24 h. Moderate obstruction in endotracheal tube lumens should be suspected in cases of difficulties in weaning, even in patients who were ventilated for less than 1 day.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.