Pediatric cuffed endotracheal tubes: an evolution of care.
نویسندگان
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.
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 ...
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ورودعنوان ژورنال:
- The Ochsner journal
دوره 11 1 شماره
صفحات -
تاریخ انتشار 2011