Comparison of the cuff pressure of a TaperGuard endotracheal tube and a cylindrical endotracheal tube after lateral rotation of head during middle ear surgery: A single-blind, randomized clinical consort study.

Abstract:

BACKGROUND:Positional change affects the cuff pressure of an endotracheal tube (ETT) in treacheally intubated patients. We compared the cuff pressure of a TaperGuard ETT and a cylindrical ETT after lateral rotation of head during middle ear surgery. METHODS:Fifty-two patients aged 18-70 years underwent a tympanomastoidectomy under general anesthesia were randomly allocated to receive endotracheal intubation with cylindrical (group C, n = 26) or TaperGuard ETTs (group T, n = 26). After endotracheal intubation, the ETT cuff pressure was set at 22 cmH2O in the neutral position of head. After lateral rotation of head, the cuff pressure was measured again and readjusted to 22 cmH2O. In addition, the change of distance from the carina to the tip of the ETT was measured before and after the positional change. The incidence of cough, sore throat, and hoarseness was assessed at 30 minutes, 6 hours, and 24 hours after surgery. RESULTS:There was no difference in demographic data between groups. After lateral rotation of head, the cuff pressure significantly increased in group T (11.9 ± 2.3 cmH2O) compared with group C (6.0 ± 1.9 cmH2O) (P < 0.001). The incidence of a cuff pressure >30 cmH2O was higher in group T (96.2%) than in group C (30.8%) (P < 0.001). In addition, the degree of displacement of an ETT was greater in group T (11.0 ± 1.7 mm) than in group C (7.2 ± 2.6 mm) (P < 0.001). The overall incidences of postoperative sore throat, hoarseness, and cough at 30 minutes, 6 hours, and 24 hours after surgery were comparable between two groups. CONCLUSION:The cuff pressure was higher in the TaperGuard ETT than in the cylindrical ETT after positional change of head from neutral to lateral rotation. In addition, after a positional change, the extent of displacement of ETT was greater in the TaperGuard ETT than in the cylindrical ETT.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Choi E,Park Y,Jeon Y

doi

10.1097/MD.0000000000006257

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

e6257

issue

10

eissn

0025-7974

issn

1536-5964

pii

00005792-201703100-00038

journal_volume

96

pub_type

杂志文章,随机对照试验

相关文献

MEDICINE文献大全
  • Zenker diverticulum: Experience in surgical treatment of large diverticula.

    abstract::The purpose of this retrospective study is to show that transcervical diverticulectomy (TD) in treatment of Zenker diverticulum (ZD) can still be a first choice procedure in selected patients and in experienced hands its safety might be compared to the minimally invasive endoscopic diverticulostomy.The study cohort co...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010557

    authors: Tabola R,Lewandowski A,Cirocchi R,Augoff K,Kozminska U,Strzelec B,Grabowski K

    更新日期:2018-05-01 00:00:00

  • Application of vascularized fibular graft for reconstruction and stabilization of multilevel cervical tuberculosis: A case report.

    abstract::Multilevel cervical reconstruction and fusion after cervical tuberculosis has always been a challenge. The current implantation materials for cervical fusion, including titanium mesh, cage, and plate are limited by its inferior biological mechanical characteristics and the properties of the metallic material. This has...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009382

    authors: Zhang J,He WS,Wang C,Yan YG,Ouyang ZH,Xue JB,Li XL,Wang WJ

    更新日期:2018-01-01 00:00:00

  • Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve-Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review.

    abstract:RATIONALE:Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010752

    authors: Qian H,Chen G,Liu Z

    更新日期:2018-06-01 00:00:00

  • Prognostic value of the systemic inflammation response index in human malignancy: A meta-analysis.

    abstract:BACKGROUND:This meta-analysis aimed to evaluate the prognostic value of the systemic inflammation response index (SIRI) in malignancy based on existing evidence. METHODS:We searched for relevant literature published in the electronic databases PubMed, Web of Science, Cochrane Library, and Embase before April 10, 2020....

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000023486

    authors: Wei L,Xie H,Yan P

    更新日期:2020-12-11 00:00:00

  • Characteristics of lymph node metastasis in resected adenosquamous lung cancer.

    abstract::The aim of this study was to retrospectively analyze the clinical data of resected adenosquamous lung cancer (ASLC) and to explore the influencing factors and clinicopathological characteristics of the metastasis lymph nodes. A total of 1156 consecutive patients with surgically resected lung cancer from January 2009 t...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008870

    authors: Kong M,Jin J,Cai X,Shen J,Ma D,Ye M,Zhu C,Freedman S,Walters K,Xu X,Chen B

    更新日期:2017-12-01 00:00:00

  • Recurrence of anti-MDA5 antibody-positive clinically amyopathic dermatomyositis after long-term remission: A case report.

    abstract:RATIONALE:Among all dermatomyositis (DM) patients, antimelanoma differentiation-associated gene 5 antibody (anti-MDA5 Ab) positive patients have significantly poor short-term mortality, whereas they experience less relapses over the long term after the remission. We report the case of a patient with anti-MDA5 Ab-positi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011024

    authors: Endo Y,Koga T,Ishida M,Fujita Y,Tsuji S,Takatani A,Shimizu T,Sumiyoshi R,Igawa T,Umeda M,Fukui S,Nishino A,Kawashiri SY,Iwamoto N,Ichinose K,Tamai M,Nakamura H,Origuchi T,Kuwana M,Hosono Y,Mimori T,Kawakami A

    更新日期:2018-06-01 00:00:00

  • Effect of microecological preparation supplementation on woman with polycystic ovary syndrome: A meta-analysis protocol.

    abstract:BACKGROUND:Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among women of reproductive age. PCOS not only affects female fertility, but is also associated with a variety of metabolic diseases, such as type 2 diabetes. Microecological preparations include probiotics, prebiotics, and synbiotics, an...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013040

    authors: Zhang H,Wen W,Shen J,Wei L

    更新日期:2018-11-01 00:00:00

  • Effect of phosphoric acid concentration used for etching on the microtensile bond strength to fluorotic teeth.

    abstract::To evaluate the effects of different etching concentrations of phosphoric acid on the microtensile bond strength of Adper Single Bond 2 to fluorotic teeth.Deidentified extracted teeth were collected, including 30 sound teeth, 30 teeth with mild fluorosis, 30 teeth with moderate fluorosis, and 30 teeth with severe fluo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012093

    authors: Gu M,Lv L,He X,Li W,Guo L

    更新日期:2018-08-01 00:00:00

  • Nasopharyngeal carcinoma perfusion MRI: Comparison of arterial spin labeling and dynamic contrast-enhanced MRI.

    abstract::To investigate the feasibility of 3D arterial spin labeling (ASL) as an alternative to dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI) for the qualitative and quantitative evaluation of nasopharyngeal carcinoma (NPC) perfusion.Fifty-two newly diagnosed NPC patients underwent 3D ASL and DCE-MRI scans o...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020503

    authors: Xiao B,Wang P,Zhao Y,Liu Y,Ye Z

    更新日期:2020-05-29 00:00:00

  • Association of human serotonin receptor 4 promoter methylation with autism spectrum disorder.

    abstract::Human serotonin receptor 4 (HTR4) encodes a 5-HT4 receptor involved in learning, memory, depression, anxiety, and feeding behavior. The aim of this study was to investigate the association between the deoxyribonucleic acid (DNA) methylation of HTR4 promoter and autism spectrum disorder (ASD), a disease characterized b...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018838

    authors: Hu Z,Ying X,Huang L,Zhao Y,Zhou D,Liu J,Zhong J,Huang T,Zhang W,Cheng F,Duan S

    更新日期:2020-01-01 00:00:00

  • Dengzhanxixin injection for cerebral infarction: A systematic review and meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:No systematic review has been published in English of Dengzhanxixin (DZXX) injection for cerebral infarction. The aim of this systematic review was to assess the effects and safety of DZXX injection for cerebral infarction. METHODS:Eight databases were searched from their inception. Randomized controlled tr...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000007674

    authors: Wang J,Xie Y,Zhao S,Zhang J,Chai Y,Li Y,Liao X

    更新日期:2017-08-01 00:00:00

  • Ovarian torsion in children: Development of a predictive score.

    abstract::The aim of this study was to identify clinical signs and symptoms of ovarian torsion (OT) in children and to develop a simple predictive score.A chart review of patients with acute adnexal pathologies treated at the University Children's Hospital Basel, Switzerland, between March 2006 and June 2015 was performed. Medi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008299

    authors: Bolli P,Schädelin S,Holland-Cunz S,Zimmermann P

    更新日期:2017-10-01 00:00:00

  • False Appearance of Gene-Environment Interactions in Genetic Association Studies.

    abstract::Under the assumption of gene-environment independence, unknown/unmeasured environmental factors, irrespective of what they may be, cannot confound the genetic effects. This may lead many people to believe that genetic heterogeneity across different levels of the studied environmental exposure should only mean gene-env...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002743

    authors: Su YS,Lee WC

    更新日期:2016-03-01 00:00:00

  • Association of Histone Methyltransferase G9a and Overall Survival After Liver Resection of Patients With Hepatocellular Carcinoma With a Median Observation of 40 Months.

    abstract::Approximately 50% of patients with hepatocellular carcinoma (HCC) reside in China. HCC is associated with very high mortality compared with other cancers. Although numerous factors influence the survival of patients with HCC who undergo liver resection, the role of the tumor biomarker histone methyltransferase (G9a) i...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002493

    authors: Bai K,Cao Y,Huang C,Chen J,Zhang X,Jiang Y

    更新日期:2016-01-01 00:00:00

  • Systemic immune reactions to HMG-CoA reductase inhibitors. Report of 4 cases and review of the literature.

    abstract::Four patients with systemic autoimmune disorders, 3 of a serious nature, presented to 1 cardiologist over a 20-month span. In 3 of these cases, an HMG-CoA reductase inhibitor was presumably etiologic, while in the fourth case, the HMG-CoA reductase inhibitor might have unmasked the disorder. It would be useful to dete...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00005792-199811000-00002

    authors: Rudski L,Rabinovitch MA,Danoff D

    更新日期:1998-11-01 00:00:00

  • Clinical efficacy of oral immunoglobulin Y in infant rotavirus enteritis: Systematic review and meta-analysis.

    abstract:BACKGROUND:Rotavirus (RV) can cause vomiting and diarrhea in infants and children, and could be treated clinically with immunoglobulin Y (IgY), which is an immunoglobulin extracted from chicken yolk. There is no systematic evaluation of immunoglobulin in the treatment of rotavirus enteritis. Therefore, we systematicall...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000016100

    authors: Wang X,Song L,Tan W,Zhao W

    更新日期:2019-07-01 00:00:00

  • Low mortality but increasing incidence of Staphylococcus aureus endocarditis in people who inject drugs: Experience from a Swedish referral hospital.

    abstract::Staphylococcus aureus is a leading cause of infective endocarditis in people who inject drugs (PWID). The management of S aureus endocarditis (SAE) in PWID can be problematic. The objective of this retrospective observational study was to assess the epidemiology, clinical characteristics, and mortality of S aureus end...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005617

    authors: Asgeirsson H,Thalme A,Weiland O

    更新日期:2016-12-01 00:00:00

  • The effectiveness and safety of acupuncture therapy for Guillain-Barré syndrome: A systematic review and meta-analysis protocol.

    abstract:BACKGROUND:Guillain-Barré syndrome (GBS) is the most common acute paralytic neuropathy. Many clinical trials indicate acupuncture provides a good effect as a complementary therapy of Western medicine for GBS. The objective of this systematic review protocol is to provide the evidence to evaluate the effectiveness and s...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000018619

    authors: Fan Z,Liu B,Zhang Y,Li M,Lu T

    更新日期:2020-01-01 00:00:00

  • Beta wave enhancement neurofeedback improves cognitive functions in patients with mild cognitive impairment: A preliminary pilot study.

    abstract:BACKGROUND:Mild cognitive impairment (MCI) is a symptom characterizing cognitive decline and a transitional state between normal aging and dementia; however, there is no definitive diagnosis and treatment for MCI. Neurofeedback (NF), which is a training mechanism that employs operant conditioning to regulate brain acti...

    journal_title:Medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/MD.0000000000018357

    authors: Jang JH,Kim J,Park G,Kim H,Jung ES,Cha JY,Kim CY,Kim S,Lee JH,Yoo H

    更新日期:2019-12-01 00:00:00

  • Prompt Oseltamivir Therapy Reduces Medical Care and Mortality for Patients With Influenza Infection: An Asian Population Cohort Study.

    abstract::There are limited population-based studies on the progress of oseltamivir therapy for influenza infection.Using insurance claims data of 2005, 2009, and 2010, the authors established an "in-time" cohort and a "lag-time" cohort representing influenza patients taking the medicine within and not within 1 week to examine ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001070

    authors: Wang CB,Chiu ML,Lin PC,Liang WM,Chen CY,Chang YJ,Wu TN,Wang JH,Sung FC

    更新日期:2015-07-01 00:00:00

  • Relation between injury of the periaqueductal gray and central pain in patients with mild traumatic brain injury: Observational study.

    abstract::The periaqueductal gray (PAG) plays a pivotal role in pain modulation. We attempted to examine the relation between injury of the PAG and central pain in patients with mild traumatic brain injury (TBI).Sixty-one patients with mild TBI with central pain and 31 healthy control subjects were recruited for this study. Vis...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004017

    authors: Jang SH,Park SM,Kwon HG

    更新日期:2016-06-01 00:00:00

  • Successful management of a complicated clinical crisis: A patient with left-sided endocarditis and secondary hemophagocytic lymphohistiocytosis: a rare case report and literature review.

    abstract:RATIONALE:Hemophagocytic lymphohistiocytosis (HLH) secondary to methicillin-resistant Staphylococcus epidermidis (MRSE)-related left-sided infectious endocarditis had never been reported before. In the last decade, daptomycin, a novel lipopeptide antibiotic, showed its excellent role in anti-Gram-positive bacteria, inc...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000009451

    authors: Xu P,Zeng H,Zhou M,Ouyang J,Chen B,Zhang Q

    更新日期:2017-12-01 00:00:00

  • Parotid ductal stenosis after facial cosmetic surgery (2 case reports).

    abstract:RATIONALE:Facial cosmetic surgery sometimes causes complications involving surrounding tissues. In particular, parotid damage may cause fibrous tissue formation, ductal stenosis, and obstruct salivary flow. Affected patients usually complain of symptoms such as pain and swelling. PATIENT CONCERNS:The authors report 2 ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015015

    authors: Choi JS,Kim YM,Lim JY

    更新日期:2019-04-01 00:00:00

  • The syndrome of distal (type 1) renal tubular acidosis. Clinical and laboratory findings in 58 cases.

    abstract::The clinical and laboratory findings in 14 infants, 2 children and 42 adults with RTA-1 have been retrospectively analyzed and the patients classified as having the hereditary (14%), acquired (31%), or idiopathic (55%) form. In 7 of the 8 hereditary cases, RTA-1 appeared to be a complication of hereditary hypercalciur...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/00005792-198803000-00002

    authors: Caruana RJ,Buckalew VM Jr

    更新日期:1988-03-01 00:00:00

  • Relationship between retinal vascular occlusions and incident cerebrovascular diseases: A systematic review and meta-analysis.

    abstract::Several studies investigating the role of retinal vascular occlusions, on cerebrovascular diseases (CVD) have been reported, but the results are still inconsistent. We therefore sought to evaluate the relationship between retinal vascular occlusions and CVD.We systematically searched the Cochrane Library, PubMed, and ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000004075

    authors: Zhou Y,Zhu W,Wang C

    更新日期:2016-06-01 00:00:00

  • The Effects of Bevacizumab in Augmenting Trabeculectomy for Glaucoma: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

    abstract::The aim of the study was to assess the effects of bevacizumab in augmenting trabeculectomy for glaucoma. We searched the databases of Cochrane Library, PubMed, Embase, CNKI, and VIP. All the databases were retrieved from the time databases established to September, 2015. The keywords we used were as follows: "bevacizu...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000003223

    authors: Liu X,Du L,Li N

    更新日期:2016-04-01 00:00:00

  • Artificial neural networks-based classification of emotions using wristband heart rate monitor data.

    abstract::Heart rate variability (HRV) is an objective measure of emotional regulation. This study aimed to estimate the accuracy with which an artificial neural network (ANN) algorithm could classify emotions using HRV data that were obtained using wristband heart rate monitors.Four emotions were evoked during gameplay: pleasu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016863

    authors: Chen YC,Hsiao CC,Zheng WD,Lee RG,Lin R

    更新日期:2019-08-01 00:00:00

  • The value of eZIS analysis of Tc-99m ECD SPECT on identifying cerebellar hypoperfusion in a patient with superficial siderosis: A case report.

    abstract:INTRODUCTION:Brain perfusion single photon computed tomography (SPECT) is a functional imaging modality and has been widely utilized in evaluation of various kinds of neurological disorders. Easy z-score imaging system (eZIS) is a computer-assisted statistical analysis, based on the comparison with age-classified ethyl...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005416

    authors: Wei CY,Chen TY,Shih I,Chiu PY,Hung GU,Matsuda H

    更新日期:2016-11-01 00:00:00

  • Ultrasound for postoperative surveillance after mastectomy in patients with breast cancer: A retrospective study.

    abstract::This study aimed to evaluate the clinical usefulness of postoperative surveillance by ultrasound (PSU) in patients after breast cancer surgery.In this retrospective study, 324 patients with breast cancer after mastectomy were included between January 2006 and December 2008. The final-positive lesions (FPL) were diagno...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009244

    authors: Liu YQ,Dong JN,Meng QX,Sun P,Zhang J

    更新日期:2017-12-01 00:00:00

  • Clinical outcome of palliative radiotherapy for locally advanced symptomatic gastric cancer in the modern era.

    abstract::The purpose of this study was to report the outcomes of patients with symptomatic locally advanced/recurrent gastric cancer treated with radiotherapy (RT) using modern 3-dimensional conformal techniques.We retrospectively reviewed patients who had palliative RT for index symptoms of gastric bleeding, pain, and obstruc...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000118

    authors: Tey J,Choo BA,Leong CN,Loy EY,Wong LC,Lim K,Lu JJ,Koh WY

    更新日期:2014-11-01 00:00:00