A randomized comparison of the prone ventilation endotracheal tube versus the traditional endotracheal tube in adult patients undergoing prone position surgery

Scientific Reports
Wangyuan ZouQulian Guo

Abstract

Endotracheal tube displacement or dislocation is a severe complication that can occur in patients who require prone position ventilation. We hypothesized the prone position tube (PPT) would reduce the incidence of displacement of an endotracheal tube in an adult prone operation compared to a traditional tube (TT). A total of 80 adult patients undergoing neurosurgery or spine surgery were recruited. Sixty patients with prone position ventilation were randomly divided into the traditional routine endotracheal tube group (Group TT, n = 30) and the prone position ventilation endotracheal tube group (Group PPT, n = 30). The primary outcome measures were the incidence of the endotracheal tube displacement during surgery, and the secondary outcomes were symptoms of sore throat, dysphagia and dysphonia during follow-up in the post-anesthesia care unit (PACU). The incidence of tube displacement was significantly lower in the PPT group (0 [0%] of 30 patients) compared to the TT group (22 [73.3%] of 30 patients; odds ratio [OR] 0.73, 95% CI 0.591-0.910; P = 0.005). There was no statistical difference in sore throat, dysphagia and vocal function between the two groups (P > 0.05) during follow-up. Compared to the traditional tube, the impro...Continue Reading

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References

Aug 4, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lori D FinemanMartha A Q Curley
May 19, 2007·British Journal of Anaesthesia·N Soundararajan, M Cunliffe
Jan 24, 2008·British Journal of Anaesthesia·H EdgcombeS Yarrow
Nov 19, 2011·Journal of Anaesthesiology, Clinical Pharmacology·Georgene SinghPraveen Kumar Neema
Apr 14, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jason Chui, Rosemary Ann Craen

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