Evidence map›Paper›PMID 30186955›Full record

ArticleLaryngoscope investigative otolaryngology2018

Mucosal injury following short-term tracheal intubation: A novel animal model and composite tracheal injury score.

Rishie Sinha, Ricardo Correia, David Gardner, Llorenc Grau-Roma, Simone de Brot, Jonathan Hardman, Steve Morgan, Andrew Norris

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Impact of Low-Volume, Low-Pressure Tracheostomy Cuffs on Acute Mucosal Injury in Swine.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2022
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Rishie SinhaDepartment of Anaesthesia Division of Clinical Neurosciences University of Nottingham, Nottingham UK.ORCID 0000-0003-2124-2255
Ricardo CorreiaApplied Optics Group, Faculty of Engineering University of Nottingham Nottingham UK.
David GardnerSchool of Veterinary Medicine and Science University of Nottingham Sutton Bonington Campus Leicestershire UK.ORCID 0000-0002-6490-2412
Llorenc Grau-RomaSchool of Veterinary Medicine and Science University of Nottingham Sutton Bonington Campus Leicestershire UK.
Simone de BrotSchool of Veterinary Medicine and Science University of Nottingham Sutton Bonington Campus Leicestershire UK.
Jonathan HardmanDepartment of Anaesthesia Division of Clinical Neurosciences University of Nottingham, Nottingham UK.
Steve MorganApplied Optics Group, Faculty of Engineering University of Nottingham Nottingham UK.
Andrew NorrisDepartment of Anaesthetics Nottingham University Hospitals NHS Trust Nottingham UK.
University of Nottingham · GBNottingham University Hospitals NHS Trust · GB

Funding

Department of Health II-LA-0813-20008
6 · The paper itself

Abstract

objectivesPostintubation laryngotracheal injury is common. Assessment of histopathological changes currently requires animal models. We set about developing a viable, resource effective animal model to study these effects and to develop a detailed tissue injury score.

methodsSix pigs were anesthetized using a standard regimen. We intubated the tracheas using a standard endotracheal tube modified to include optical sensors. Animals were anesthetized for a duration of two to four hours, and their lungs were ventilated using a normoxic gas mixture. Following euthanasia, the tracheas were removed and underwent histological assessment by two independent veterinary pathologists. The histological lesions, including controls, were described and quantified, and two pathologists classified tissues according to a novel injury score.

resultsMean duration of tracheal intubation was 191 minutes (SD ± 41.6). In all except one animal, cuff pressures were maintained in the range of 25-45 cmH20. Histopathological findings in all study animals showed more extensive changes than previously described with short-term intubation. Changes were seen in all mucosal layers consistent with acute, suppurative, and ulcerative tracheitis. The range of scores of the developed composite scoring system among the animals was wider than in earlier descriptions. There was a high percentage of agreement between both pathologists.

conclusionsWe have described a novel tracheal injury score to assess pathological changes following short term intubation in a viable animal model. The scoring system distinguished between the test animals as well as controls and may be appropriate for continuing study of intubation injury. LEVEL OF EVIDENCE: 3.

Indexed as

Animalsconstrictionintratrachealintubationlaryngostenosispathologictracheatracheal stenosis

Identifiers

PMID30186955
PMCPMC6119797
OpenAlexW2896840856

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.