Evidence map›Paper›PMID 35027059›Full record

ArticlePatient safety in surgery2022

Knowledge and practice of tracheal tube cuff pressure monitoring: a multicenter survey of anaesthesia and critical care providers in a developing country.

Arinze Duke George Nwosu, Edmund Ndudi Ossai, Fidelis Anayo Onyekwulu, Adaobi Obianuju Amucheazi, Richard Ewah, Okechukwu Onwuasoigwe, Irene Akhideno

Open access · goldAbstract read
In one paragraph

Article in Patient safety in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 21 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Arinze Duke George NwosuDepartment of Anaesthesia, National Orthopaedic Hospital, Enugu, Nigeria. adnwosu@yahoo.com.
Edmund Ndudi OssaiDepartment of Community Medicine, Federal Teaching Hospital, Abakaliki, Nigeria.
Fidelis Anayo OnyekwuluDepartment of Anaesthesia, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Adaobi Obianuju AmucheaziDepartment of Anaesthesia, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Richard EwahDepartment of Anaesthesia, Federal Teaching Hospital, Abakaliki, Nigeria.
Okechukwu OnwuasoigweDepartment of Orthopaedic Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Irene AkhidenoDepartment of Anaesthesia, Irrua Specialist Teaching Hospital, Irrua., Edo state, Nigeria.
University of Nigeria Teaching Hospital · NGFederal Teaching Hospital Abakaliki · NGIrrua Specialist Teaching Hospital · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTracheal tubes are routinely used during anaesthesia and in the intensive care unit. Subjective monitoring of cuff pressures have been reported to produce consistently inappropriate cuffs pressures, with attendant morbidity. But this practice of unsafe care remains widespread. With the proliferation of intensive care units in Nigeria and increasing access to surgery, morbidity relating to improper tracheal cuff pressure may assume a greater toll. We aimed to evaluate current knowledge and practice of tracheal cuff pressure monitoring among anaesthesia and critical care providers in Nigeria.

methodsThis was a multicenter cross-sectional study conducted from March 18 to April 30, 2021. The first part (A) was conducted at 4 tertiary referral hospitals in Nigeria by means of a self-administered questionnaire on the various cadre of anaesthesia and critical care providers. The second part (B) was a nation-wide telephone survey of anaesthesia faculty fellows affiliated to 13 tertiary hospitals in Nigeria, selected by stratified random sampling.

resultsOnly 3.1% (6/196) of the care providers admitted having ever used a tracheal cuff manometer, while 31.1% knew the recommended tracheal cuff pressure. The nationwide telephone survey of anaesthesia faculty fellows revealed that tracheal cuff manometer is neither available, nor has it ever been used in any of the 13 tertiary hospitals surveyed. The 'Pilot balloon palpation method' and 'fixed volume of air from a syringe' were the most commonly utilized method of cuff pressure estimation by the care providers, at 64.3% and 28.1% respectively in part A survey (84.6% and 15.4% respectively, in the part B survey).

conclusionThe use of tracheal cuff manometer is very limited among the care providers surveyed in this study. Knowledge regarding tracheal cuff management among the providers is adjudged to be fair, despite the poor practice and unsafe care.

Indexed as

AnaesthesiaCritical careNigeriaSurgeryTracheal cuff manometer

Identifiers

PMID35027059
PMCPMC8759163
OpenAlexW4206767550

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.