Evidence map›Paper›PMID 34499203›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2022

Bench testing of tracheostomy tube-related insults using an instrumented manikin.

Guillaume Cathelain, Antoine Perrier, Ludivine Folliot, Cyrielle Le Gloanec, Mohamed Rarrbo, François Jouen, Etienne Saudeau, Guillaume Costa, Robert Carlier, Jean Bergounioux

Abstract read
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In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

10 authors at 4 institutions in 1 country.

Guillaume Cathelain *CHArt Laboratory, Ecole Pratique Des Hautes Etudes, PSL University, Paris, France.
Antoine Perrier *Université Grenoble Alpes and CNRS, TIMC-IMAG, 38000, Grenoble, France.
Ludivine FolliotDMU Smart Imaging, Radiology Department, Raymond Poincaré University Hospital, Assistance Publique Des Hôpitaux de Paris, Garches, Paris, France.
Cyrielle Le GloanecClinical Pharmacy Department, Raymond Poincaré University Hospital, Assistance Publique Des Hôpitaux de Paris, Garches, Paris, France.
Mohamed RarrboClinical Pharmacy Department, Raymond Poincaré University Hospital, Assistance Publique Des Hôpitaux de Paris, Garches, Paris, France.
François JouenCHArt Laboratory, Ecole Pratique Des Hautes Etudes, PSL University, Paris, France.
Etienne SaudeauPediatric Intensive Care Unit, Assistance Publique Des Hôpitaux de Paris, Garches, Paris, France.
Guillaume CostaPediatric Intensive Care Unit, Assistance Publique Des Hôpitaux de Paris, Garches, Paris, France.
Robert CarlierDMU Smart Imaging, Radiology Department, Raymond Poincaré University Hospital, Assistance Publique Des Hôpitaux de Paris, Garches, Paris, France.
Jean BergouniouxPediatric Intensive Care Unit, Assistance Publique Des Hôpitaux de Paris, Garches, Paris, France. Jean.bergounioux@aphp.fr.ORCID http://orcid.org/0000-0001-7673-4455
Université de Versailles Saint-Quentin-en-Yvelines · FRAssistance Publique – Hôpitaux de Paris · FRÉcole Pratique des Hautes Études · FRCentre National de la Recherche Scientifique · FR

Funding

Assistance Publique - Hôpitaux de Paris T3D project
6 · The paper itself

Abstract

purposeChoosing the right tracheal tube for the right patient is a daily preoccupation for intensivists and emergency physicians. Tracheal tubes can generate severe complications, which are chiefly due to the pressures applied by the tube to the trachea. We designed a bench study to assess the frequency of pressure levels likely to cause tracheal injury.

methodsWe tested the pressure applied on the trachea by 17 tube models of a given size range. To this end, we added a pressure sensor to the posterior tracheal wall of a standardized manikin.

resultsOnly 2 of the 17 tubes generated pressures under the threshold likely to induce tracheal injury (30 mmHg/3.99 kPa). The force exerted on the posterior wall of the trachea varied widely across tube models.

conclusionMost models of tracheal tubes resulted in forces applied to the trachea that are usually considered capable of causing tracheal tissue injury. LEVEL OF EVIDENCE: Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence: How common is the problem?: step 1; Is this diagnostic or monitoring test accurate? (Diagnosis) step 5; What will happen if we do not add a therapy? (Prognosis) n/a; Does this intervention help? (Treatment Benefits) step 5; What are the COMMON harms?(Treatment Harms) step 5; What are the RARE harms? (Treatment Harms) step 5; Is this (early detection) test worthwhile? (Screening) step 5.

Indexed as

ManikinsTracheostomyHumansIntubation, IntratrachealRespiration, ArtificialTracheaPressure-induced injuryTracheal cannulaTracheal injuryTracheal tubeTracheostomy

Identifiers

PMID34499203
OpenAlexW3196353948

What OpenQuestion holds

Textmetadata
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.