ArticleBMC anesthesiology2026
Management of endotracheal tube dislodgement during transoral oropharyngolaryngeal surgery: a multicenter cross-sectional survey study.
Article in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
objectiveTo investigate the awareness, clinical management practices, and training needs of otolaryngologists and anesthesiologists regarding endotracheal tube dislodgement (ETTD) during transoral oropharyngolaryngeal surgery.
methodsA multicenter cross-sectional survey was conducted among otolaryngologists and anesthesiologists from multiple hospitals in China through the WeChat "Questionnaire Star" platform.
resultsA total of 321 valid questionnaires were collected (220 from the Otolaryngology Department and 101 from the Anesthesiology Department). A total of 61.1% of clinicians reported prior exposure to ETTD. More years of clinical practice were associated with higher self-reported awareness and greater reported numbers of ETTD cases. Educational background significantly influenced otolaryngologists' reported awareness and anesthesiologists' self-reported number of ETTD cases. Significant interdisciplinary differences were observed in the definition of high-risk populations, perceived main causes, and methods for detecting ETTD. Emergency reintubation was predominantly performed by anesthesiologists. In a small proportion of cases, ETTD led to complications, ICU admission, or death and triggered medical disputes. A total of 95.6% of the participants thought training on ETTD-related knowledge was necessary.
conclusionsA high proportion of clinicians in both specialties reported prior exposure to ETTD during transoral oropharyngolaryngeal surgery. Significant differences in the understanding and management of ETTD between otolaryngologists and anesthesiologists were observed. Although such discrepancies correlated with differences in the years of clinical practice and educational background, a causal relationship could not be established. Interdisciplinary collaboration and standardized training regarding ETTD must be strengthened to improve perioperative safety.
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