ArticleInternational wound journal2020
Which endotracheal tube location minimises the device-related pressure ulcer risk: The centre or a corner of the mouth?
Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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.
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Who cites it
25 citing papers in PubMed, 40 citations in OpenAlex.
- Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trial.Annals of medicine · 2025Trial
- Innovative Tracheal Tube Design Enhances Oral Health in Intubated Patients.International wound journal · 2025Trial
- Application of double-sleeve endotracheal tube in infection control for icu patients: a randomized controlled trial.Head & face medicine · 2025Trial
- Effect of a self-developed fixation device on preventing endotracheal intubation-related pressure injury: a randomised controlled trial.Critical care (London, England) · 2024Trial
- Effect of Algoplaque Hydrocolloid Dressing Combined with Nanosilver Antibacterial Gel under Predictive Nursing in the Treatment of Medical Device-Related Pressure Injury.Computational and mathematical methods in medicine · 2022Trial
- Endotracheal Tube Repositioning Frequency for Preventing Oral Mucosal Pressure Injuries in Intensive Care Units: A Randomised Controlled Trial Study Protocol.Nursing in critical care · 2026Article
- Development and Psychometric Evaluation of a Medical Device-Related Pressure Injury Risk Assessment Scale.International wound journal · 2026Article
- Designing a Finite Element Model to Determine the Different Fixation Positions of Tracheal Catheters in the Oral Cavity for Minimizing the Risk of Oral Mucosal Pressure Injury: Comparison Study.JMIR bioinformatics and biotechnology · 2025Article
- ICU nurses' knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional study.BMC nursing · 2025Article
- Characteristics of oral mucosal pressure injuries in children with orotracheal intubation in intensive care units: An observational study.Nursing in critical care · 2025Observational
- Development and Evaluation of an ICU Nurse Training Program on Oral Mucosal Pressure Injury Prevention and Management Using the ADDIE Model.Risk management and healthcare policy · 2025Article
- Predictive value of Braden scale combined with hemoglobin and hematocrit for oral mucosal pressure injury risk in ICU patients.American journal of translational research · 2025Article
- Development and validation of a predictive model for oral mucosal pressure injury risk in ICU patients with endotracheal intubation.Frontiers in medicine · 2025Article
- Endotracheal intubation-related oral mucosal membrane pressure injuries: a narrative review of biomechanical insights, biomaterial optimization, and intelligent monitoring.Frontiers in medical technology · 2025Review
- Article
- Pathways for Identifying Problems in Nursing Quality on-Site Supervision: A Descriptive Qualitative Study.Journal of multidisciplinary healthcare · 2024Article
- Article
- Evaluation of facial tissue stresses under medical devices post application of a cyanoacrylate liquid skin protectant: An integrated experimental-computational study.International wound journal · 2022Article
- What makes a hydrogel-based dressing advantageous for the prevention of medical device-related pressure ulcers.International wound journal · 2022Article
- Our contemporary understanding of the aetiology of pressure ulcers/pressure injuries.International wound journal · 2022Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
The use of an endotracheal tube (ETT), which is required for any mechanical ventilation procedure, involves an inherent risk for facial skin, lip, and mucosal pressure ulcers. The ETT is one of the most common devices associated with medical device-related pressure ulcers (MDRPUs) among surgical and intensive care unit patients. In the present work, we investigated, for the first time in the literature, the biomechanical effects of the presence and positioning of an ETT in the mouth on lip, mucosal and surrounding facial skin loads. Using two anatomically realistic finite element model variants, two ETT locations were simulated and compared, at the centre versus the corner of the mouth. Our study shows that a central location of the ETT inflicted greater lip and mucosal stress values, but a corner location caused a more widespread and diffused lip, mucosal and facial skin stress exposure. Accordingly, we cannot recommend a "safer" location for ETTs in the mouth; additional preventative measures such as dedicated dressing materials or special cushioning pads applied prophylactically, should be developed to protect from MDRPUs associated with ETT usage. The present modelling framework can be used to study the biomechanical efficacy of such protective technologies, and can therefore aid in the prevention of ETT-caused MDRPUs.
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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.