ArticleJournal of critical care2013
Predicting laryngeal edema in intubated patients by portable intensive care unit ultrasound.
Article in Journal of critical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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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.
Cuff Leak Test and Airway Obstruction in Mechanically Ventilated ICU Patients Pilot Trial
Cuff Leak Test and Airway Obstruction in Mechanically Ventilated ICU Patients (COSMIC): A Pilot Randomized Controlled Trial
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Liberation from mechanical ventilation in critically ill patients: Korean Society of Critical Care Medicine Clinical Practice Guidelines.Acute and critical care · 2024Guideline
- Diagnostic efficacy of sonographic measurement of laryngeal air column width difference for predicting the risk of post-extubation stridor: A meta-analysis of observational studies.Frontiers in medicine · 2023Pooled it
- Performance of the cuff leak test in adults in predicting post-extubation airway complications: a systematic review and meta-analysis.Critical care (London, England) · 2020Pooled it
- Ten tips for a safe approach in airway management.Journal of anesthesia, analgesia and critical care · 2026Review
- Oropharyngeal ultrafast ultrasound measurements in mechanically ventilated critically ill patients do not identify post-extubation stridor.Critical care (London, England) · 2025Observational
- Article
- Liberation from Mechanical Ventilation in Critically Ill Patients: Korean Society of Critical Care Medicine Clinical Practice Guidelines.Tuberculosis and respiratory diseases · 2024Article
- The role of upper airway ultrasonography in tracheal necrosis diagnosis: a case report.The ultrasound journal · 2024Article
- The Role of Ultrasonography in the Process of Weaning from Mechanical Ventilation in Critically Ill Patients.Diagnostics (Basel, Switzerland) · 2024Review
- The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment.Journal of clinical medicine · 2024Review
- Utilization of a Risk Stratification Tool and Volume-Based Cuff Leak Test to Assess Postextubation Stridor.Respiratory care · 2023Article
- A novel technique for assessment of post-extubation airway obstruction can successfully replace the conventional cuff leak test: a pilot study.BMC anesthesiology · 2022Observational
- Association of an electromyographic tube for severe postoperative laryngeal edema and reintubation in neurosurgery: a retrospective study.Journal of anesthesia · 2021Article
- Assessing the accuracy of ultrasound measurements of tracheal diameter: an in vitro experimental study.BMC anesthesiology · 2021Article
- Comparison of Laryngeal Ultrasound and Cuff Leak Test to Predict Post-Extubation Stridor in Total Thyroidectomy.Turkish journal of anaesthesiology and reanimation · 2021Article
- Novel role of focused airway ultrasound in early airway assessment of suspected laryngeal trauma.The ultrasound journal · 2020Article
- Cuff Leak Test and Airway Obstruction in Mechanically Ventilated ICU Patients (COMIC): a pilot randomised controlled trial protocol.BMJ open · 2019Article
- Postextubation management of patients at high risk for reintubation.Journal of thoracic disease · 2016Article
- Point-of-Care Sonographic Findings in Acute Upper Airway Edema.The western journal of emergency medicine · 2016Article
- Role of upper airway ultrasound in airway management.Journal of intensive care · 2016Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study is to determine the diagnostic accuracy of portable ultrasound for detection of laryngeal edema (LE) in intubated patients. MATERIALS AND
methodsWe conducted a prospective, observational study from December 2010 to September 2011. We measured air column width differences (ACWD) in planned extubation patients admitted in intensive care unit by ultrasound. The primary outcome was the diagnostic accuracy of ACWD to predict the presence of LE.
resultsA total of 101 patients were enrolled. The prevalence of LE was 16.8%. Baseline characteristics were similar between intubated patients with and without LE. The mean difference of increasing of air column width in patients without LE was higher than in LE group (1.9 vs 1.08 mm, P<.001). The sensitivity and specificity at ACWD higher or equal to 1.6 mm were 0.706 and 0.702, respectively. The positive predictive value and negative predictive value were 0.324 and 0.922, respectively. The area under the receiver operating characteristic curve of laryngeal ultrasound was 0.823 (95% confidence interval, 0.698-0.947) and that of cuff leak test was 0.840 (95% confidence interval, 0.715-0.964).
conclusionPortable intensive care unit ultrasound visualizing ACWD between predeflation and postdeflation cuff balloon is a promising objective tool, which aids in prediction of successful extubation regarding LE.
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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.