SynthesisInternational journal of nursing sciences2026
Comparative effectiveness of various intubation fixation devices for patients undergoing tracheal intubation in the ICU: A systematic review and network meta-analysis.
Synthesis in International journal of nursing sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Authors and funding
8 authors.
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Abstract
Objectives: This study aimed to compare and rank the efficiency of various devices used for intubation fixation in patients undergoing orotracheal intubation in the ICU. Methods: A comprehensive search of pertinent databases was conducted, encompassing all available records from their inception until March 2025. The databases included PubMed, Embase, Web of Science, the Cochrane Library, China Knowledge Resource Integrated Database (CNKI), Wanfang Databases, Chinese Biomedical Databases disc (CBM disc), and VIP Database. The review concentrated on randomized controlled trials (RCTs) that examined various intubation fixation devices for patients with tracheostomy in the ICU. A network meta-analysis was then performed to compare and rank the efficacy of these devices, with catheter displacement, facial pressure injuries, and patient-reported pain as the primary outcomes, by evaluating the odds ratios ( Results: This network meta-analysis synthesized data from 16 RCTs assessing five different intubation fixation devices. No significant differences were found among devices regarding catheter displacement or facial pressure injuries. However, hybrid fixation (using adhesive tapes and straps) provided significantly better pain relief than dental pad fixation ( Conclusions: While no single device was superior across all outcomes, hybrid fixation demonstrated a significant advantage in reducing patient pain. Future high-quality RCTs with standardized outcomes are needed to strengthen these findings and inform clinical guidelines.
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