Seol G, Jin J, Oh J, Byun SH, Jeon Y. Pressure changes in tapered and cylindrical shaped cuff after extension of head and neck: A randomized controlled trial. World J Clin Cases 2022; 10(31): 11419-11426 [PMID: 36387810 DOI: 10.12998/wjcc.v10.i31.11419]
Corresponding Author of This Article
Younghoon Jeon, MD, PhD, Full Professor, Professor, Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, South Korea. jeon68@gmail.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Gukjin Seol, Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, Daegu 41944, South Korea
Juhwa Jin, Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu 41944, South Korea
Jinyoung Oh, Sung-Hye Byun, Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu 41944, South Korea
Younghoon Jeon, Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu 41944, South Korea
Author contributions: Seol G drafted the manuscript; Jin J performed the research; Oh J was involved with data collection and assisted with data analysis; Byun SH was involved with data collection and assisted data analysis; Jeon Y participated in study design and assisted with data analysis; all authors read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Kyungpook National University Hospital.
Clinical trial registration statement: This study was registered at the ClinicalTrials.GOV (NCT04503031).
Informed consent statement: All patients provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Younghoon Jeon, MD, PhD, Full Professor, Professor, Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, South Korea. jeon68@gmail.com
Received: May 20, 2022 Peer-review started: May 20, 2022 First decision: August 21, 2022 Revised: August 31, 2022 Accepted: September 29, 2022 Article in press: September 29, 2022 Published online: November 6, 2022 Processing time: 159 Days and 20.2 Hours
ARTICLE HIGHLIGHTS
Research background
The proper cuff pressure of endotracheal tube (ET) plays an important role in sealing the airway and preventing airway complications during mechanical ventilation. The cuff shape of ET affects the cuff pressure after positional change.
Research motivation
There are only a few studies investigating the cuff pressure change and the degree of migration of ET following anterior-posterior movement during nasal endotracheal intubation.
Research objectives
To compare cuff pressure between TaperGuard ET and conventional ET after extension of head and neck during nasal endotracheal intubation.
Research methods
In this randomized clinical trial, patients were intubated with nasal conventional ET and nasal TaperGuard ET. After extension of head and neck, the cuff pressure and the degree of migration of tube was measured and postoperative airway complications were assessed.
Research results
The cuff pressure significantly increased in the TaperGuard ET, compared to the conventional ET. Additionally, the degree of cephalad migration of ET tip was greater in the TaperGuard ET. The incidence of postoperative airway complications was comparable between groups.
Research conclusions
The increase of cuff pressure was higher in the TaperGuard ET than in the conventional ET after head and neck extension during nasal intubation. In addition, the cephalad migration of ET was greater in the TaperGuard ET than in the conventional ET.
Research perspectives
The cuff pressure should be carefully monitored after positional change, particularly in when using TaperGuard ET during nasal endotracheal intubation. Further study is required to investigate the association between the shape of ET cuff and postoperative airway morbidity.
