Evidence map›Paper›PMID 40131470›Full record

ArticleJournal of anesthesia2025

Increased cuff-leak pressure after abdominal and spine surgeries: a simple and novel cuff-leak test for tracheal extubation.

Takayuki Yamada, Katsuhiko Ishibashi, Yuichi Sakaguchi, Sadatoshi Kawakami, Natsuko Nozaki-Taguchi, Yasunori Sato, Shiroh Isono

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In one paragraph

Article in Journal of anesthesia, 2025. 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
–field-weighted citation impact
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.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Takayuki YamadaDepartment of Anesthesiology, Pain and Palliative Care Medicine, Chiba University Hospital, 1-8-1 Inohana, Chuo-Ku, Chiba, 260-8670, Japan. tyamada_violine@yahoo.co.jp.ORCID http://orcid.org/0000-0003-2817-7572
Katsuhiko IshibashiDepartment of Anesthesiology, Pain and Palliative Care Medicine, Chiba University Hospital, 1-8-1 Inohana, Chuo-Ku, Chiba, 260-8670, Japan.
Yuichi SakaguchiDepartment of Anesthesiology, Pain and Palliative Care Medicine, Chiba University Hospital, 1-8-1 Inohana, Chuo-Ku, Chiba, 260-8670, Japan.
Sadatoshi KawakamiDepartment of Anesthesiology, Pain and Palliative Care Medicine, Chiba University Hospital, 1-8-1 Inohana, Chuo-Ku, Chiba, 260-8670, Japan.
Natsuko Nozaki-TaguchiDepartment of Anesthesiology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Yasunori SatoDepartment of Preventive Medicine and Public Health, Keio School of Medicine, Tokyo, Japan.
Shiroh IsonoDepartment of Anesthesiology, Pain and Palliative Care Medicine, Chiba University Hospital, 1-8-1 Inohana, Chuo-Ku, Chiba, 260-8670, Japan.

Funding

Kaken Pharmaceutical 22K09017
6 · The paper itself

Abstract

purposeCuff-leak volume (CLV) tests are recommended to avoid extubation failure. We developed a novel cuff-leak pressure (CLP) test that quantitatively assesses upper airway resistance outside the tracheal tube. We hypothesized that CLP (airway pressure during apnea with the cuff deflated under a 6 l/minute oxygen flow) would increase after surgery (primary outcome) and evaluated the accuracy and reproducibility of CLP measurements by measuring the CLV (difference in expiratory tidal volume before and after deflation of a tracheal tube cuff).

methodsCLV and CLP were measured before and after abdominal surgery (n = 25; abdominal group) and cervical spine surgery (n = 25; spine group) under general anesthesia and complete neuromuscular blockade.

resultsIn both groups, the CLP was significantly higher after surgery (median [25%, 75% interquartile ranges]) (abdominal group: 4.0 [1.0, 8.4] cmH

conclusionBoth the CLP and CLV measurements were accurate and highly reproducible to assess postoperative increase of the upper airway resistance before extubation.

Indexed as

AbdomenAirway ExtubationIntubation, IntratrachealSpineAdultAgedAirway ResistanceAnesthesia, GeneralFemaleHumansMaleMiddle AgedPressureReproducibility of ResultsTidal VolumeAnesthesiaCuff-leak pressureCuff-leak testExtubationLaryngeal edema

Identifiers

PMID40131470
PMCPMC12103336

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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.