Evidence map›Paper›PMID 36198992›Full record

Observational studyCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

Airway injury from the presence of endotracheal tubes and the association with subglottic secretion drainage: a prospective observational study.

Stephanie R Sibley, Ian M Ball, Christine L D'Arsigny, John W Drover, Jason W Erb, Imelda M Galvin, Daniel W Howes, Roy Ilan, David W Messenger, Susan L Moffatt and 3 more

Open access · bronzeAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Subcutaneous emphysema potentially caused by tracheostomy tubes with subglottic suction devices.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
    Article
  5. Do endotracheal tubes with subglottic suction devices cause airway injury?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Stephanie R SibleyDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.ORCID http://orcid.org/0000-0003-2229-9747
Ian M BallDivision of Critical Care Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Christine L D'ArsignyDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
John W DroverDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Jason W ErbDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Imelda M GalvinDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Daniel W HowesDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Roy IlanDivision of Critical Care Medicine, Rambam Health Care Campus, Haifa, Israel.
David W MessengerDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Susan L MoffattDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Christopher M ParkerDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Stacy RidiDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
John MuscedereDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Queen's University · CARambam Health Care Campus · ILWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaryngeal and tracheal injuries are known complications of endotracheal intubation. Endotracheal tubes (ETTs) with subglottic suction devices (SSDs) are commonly used in the critical care setting. There is concern that herniation of tissue into the suction port of these devices may lead to tracheal injury resulting in serious clinical consequences such as tracheal stenosis. We aimed to describe the type and location of tracheal injuries seen in intubated critically ill patients and assess injuries at the suction port as well as in-hospital complications associated with those injuries.

methodsWe conducted a prospective observational study of 57 critically ill patients admitted to a level 3 intensive care unit who were endotracheally intubated and underwent percutaneous tracheostomy. Investigators performed bronchoscopy and photographic evaluation of the airway during the percutaneous tracheostomy procedure to evaluate tracheal and laryngeal injury.

resultsForty-one (72%) patients intubated with ETT with SSD and sixteen (28%) patients with standard ETT were included in the study. Forty-seven (83%) patients had a documented airway injury ranging from hyperemia to deep ulceration of the mucosa. A common tracheal injury was at the site of the tracheal cuff. Injury at the site of the subglottic suction device was seen in 5/41 (12%) patients. There were no in-hospital complications.

conclusionsAirway injury was common in critically ill patients following endotracheal intubation, and tracheal injury commonly occurred at the site of the endotracheal cuff. Injury occurred at the site of the subglottic suction port in some patients although the clinical consequences of these injuries remain unclear.

Indexed as

Critical IllnessTracheal DiseasesHumansIntubation, IntratrachealSuctionTracheaTracheostomyendotracheal intubationsubglottic suctiontracheal injury

Identifiers

PMID36198992
OpenAlexW4302016209

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.