Pediatric cuffed endotracheal tubes: an evolution of care.

نویسندگان

  • Connie Taylor
  • Lekha Subaiya
  • Daniel Corsino
چکیده

PURPOSE To examine the history of pediatric endotracheal intubation and the issues surrounding the change from uncuffed endotracheal tubes to cuffed endotracheal tubes, including pediatric airway anatomy, endotracheal tube design, complications, and safety concerns. METHOD Review of the literature. CONCLUSIONS Although the use of cuffed endotracheal tubes in infants and children remains a topic of debate, the literature supports this change in practice. Meticulous attention must be given to intracuff pressure. Cuffed endotracheal tubes designed especially for the pediatric patient may increase the margin of safety.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Pediatric airway anatomy may not be what we thought: implications for clinical practice and the use of cuffed endotracheal tubes.

One of the long held tenets of pediatric anesthesia has been the notion that the pediatric airway is conical shape with the narrowest area being the cricoid region. However, recent studies using radiologic imaging techniques (magnetic resonance imaging and computed tomography) or direct bronchoscopic observation have questioned this suggesting that the narrowest segment may be at or just below ...

متن کامل

A review of cuffed vs uncuffed endotracheal tubes in children

Background The use of cuffed endotracheal tubes in paediatric patients is still a controversial topic. This paper aims to investigate whether cuffed or uncuffed tubes should be used in children under the age of 8 based on the literature that is currently available on this topic. Currently there are no guidelines on this topic. Methods The literature review has been taken in consideration Result...

متن کامل

Airway management.

The pediatric airway and respiratory function differ from those in adults. Optimum management requires consideration of these differences, but the application of adult principles is usually sufficient to buy time in an emergency until specialist pediatric help is available. Simple airway opening techniques such as head tilt and jaw thrust are usually sufficient to open the child's airway, but t...

متن کامل

Uncuffed versus Cuffed Endotracheal Tubes

SPA-APA Meeting San Francisco 2007 1 Uncuffed versus Cuffed Endotracheal Tubes Markus Weiss, MD, Zurich, Switzerland During the last five decades, uncuffed tracheal tubes were recommended for routine use in children aged below 8 years. Cuffed tracheal tubes in patients younger than 8 years of age were only exceptionally used for special indications. In the last 10 years a change in clinical pra...

متن کامل

The value of polyurethane-cuffed endotracheal tubes to reduce microaspiration and intubation-related pneumonia: a systematic review of laboratory and clinical studies

BACKGROUND When conventional high-volume, low-pressure cuffs of endotracheal tubes (ETTs) are inflated, channel formation due to folds in the cuff wall can occur. These channels facilitate microaspiration of subglottic secretions, which is the main pathogenic mechanism leading to intubation-related pneumonia. Ultrathin polyurethane (PU)-cuffed ETTs are developed to minimize channel formation in...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Ochsner journal

دوره 11 1  شماره 

صفحات  -

تاریخ انتشار 2011