Evidence map›Paper›PMID 38202269›Full record

ArticleJournal of clinical medicine2024

Laryngopharyngeal Mucosal Injury Due to Nasogastric Tube Insertion during Cardiopulmonary Resuscitation: A Retrospective Cohort Study.

Kazuyuki Miyamoto, Hiromi Takayasu, Shino Katsuki, Atsuo Maeda, Keisuke Suzuki, Motoyasu Nakamura, Noriko Hida, Takehiko Sambe, Masaharu Yagi, Jun Sasaki and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.2field-weighted citation impact, top 10% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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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

12 authors at 1 institution in 1 country.

Kazuyuki MiyamotoDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.ORCID 0000-0002-9558-2570
Hiromi TakayasuDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.
Shino KatsukiDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.
Atsuo MaedaDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.
Keisuke SuzukiDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.ORCID 0000-0002-2099-1345
Motoyasu NakamuraDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.
Noriko HidaDepartment of Clinical Pharmacy, Division of Clinical Research and Development, School of Pharmacy, Showa University, Kita-karasuyama, Setagaya-ku, Tokyo 1578577, Japan.ORCID 0000-0002-7481-597X
Takehiko SambeDepartment of Pharmacology, Clinical Pharmacology, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.
Masaharu YagiDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.ORCID 0009-0000-4525-9225
Jun SasakiDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.
Munetaka HayashiDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.
Kenji DohiDepartment of Emergency, Critical care and Disaster Medicine, School of Medicine, Showa University, Hatanodai, Shinagawa-ku, Tokyo 1428666, Japan.ORCID 0000-0002-4451-0382
Showa University · JP

Funding

Japan Society for the Promotion of Science 19K09442Japan Society for the Promotion of Science 19K22779Japan Society for the Promotion of Science 21H03036Japan Society for the Promotion of Science 22H03177
6 · The paper itself

Abstract

backgroundPatients under cardiopulmonary resuscitation (CPR) are at high risk of aspirating gastric contents. Nasogastric tube insertion (NGTI) after tracheal intubation is usually performed blindly. This sometimes causes laryngopharyngeal mucosal injury (LPMI), leading to severe bleeding. This study clarified the incidence of LPMI due to blind NGTI during CPR.

methodsWe retrospectively analyzed 84 patients presenting with cardiopulmonary arrest on arrival, categorized them into a Smooth group (Smooth; blind NGTI was possible within 2 min), and Difficult group (blind NGTI was not possible), and consequently performed video laryngoscope-assisted NGTI. The laryngopharyngeal mucosal condition was recorded using video laryngoscope. Success rates and insertion time for the Smooth group were calculated. Insertion number and LPMI scores were compared between the groups. Each regression line of outcome measurements was obtained using simple regression analysis. We also analyzed the causes of the Difficult group, using recorded video laryngoscope-assisted videos.

resultsThe success rate was 78.6% (66/84). NGTI time was 48.8 ± 4.0 s in the Smooth group. Insertion number and injury scores in the Smooth group were significantly lower than those in the Difficult group. The severity of LPMI increased with NGT insertion time and insertion number.

conclusionsWhenever blind NGTI is difficult, switching to other methods is essential to prevent unnecessary persistence.

Indexed as

cardiopulmonary arrestcardiopulmonary resuscitationinsertion numberinsertion timelaryngopharyngeal mucosal injurynasogastric tube insertionvideo laryngoscope

Identifiers

PMID38202269
PMCPMC10780124
OpenAlexW4390508401

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.