Cochrane · systematic review · CD013736

Cuffed versus uncuffed endotracheal tubes for neonates

Dariya, V, Moresco, L, Bruschettini, M, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Cuffed (inflated or not) compared to uncuffed endotracheal tubes for neonates

Population: neonates
7 questions
OutcomeEffectEvidenceStatus / GRADE
Postextubation stridor Time of measurement: during initial hospitalization
Cuffed (inflated or not) vs uncuffed endotracheal tubes
RR 1.36 [0.35, 5.25]1 study · 69 participantsVery low
Downgraded: risk of bias, imprecision
Postextubation subglottic stenosis Time of measurement: during initial hospitalization
Cuffed (inflated or not) vs uncuffed endotracheal tubes
no estimate extracted1 study · 69 participantsVery low
Downgraded: risk of bias, imprecision
Reintubation for stridor or subglottic stenosis Time of measurement: during initial hospitalization
Cuffed (inflated or not) vs uncuffed endotracheal tubes
RR 0.27 [0.01, 6.49]1 study · 69 participantsVery low
Downgraded: risk of bias, imprecision
Surgical intervention (e.g. endoscopic balloon dilation, cricoid split, tracheostomy) for stridor or subglottic stenosis Time of measurement: during initial hospitalization
Cuffed (inflated or not) vs uncuffed endotracheal tubes
no estimate extracted1 study · 69 participantsVery low
Downgraded: risk of bias, imprecision
Reintubation for any reason
Cuffed (inflated or not) vs uncuffed endotracheal tubes
RR 0.06 [0.01, 0.45]1 study · 69 participantsVery low
Downgraded: risk of bias, imprecision
Accidental extubation Time of measurement: during initial hospitalization
Cuffed (inflated or not) vs uncuffed endotracheal tubes
RR 0.82 [0.12, 5.46]1 study · 69 participantsVery low
Downgraded: risk of bias, imprecision
All‐cause mortality during initial hospitalization
Cuffed (inflated or not) vs uncuffed endotracheal tubes
RR 2.46 [0.1, 58.39]1 study · 69 participantsVery low
Downgraded: risk of bias, imprecision