Clinical Use of Preformed Microcuff® Pediatric Endotracheal Tubes in Japan

Oda, Wakana; Hanamoto, Hiroshi; Oyamaguchi, Aiko; Togawa, Eriko; Honjyo, Yuka; Usami, Nayuka; Niwa, Hitoshi

doi:10.2344/anpr-67-04-03

Cited by 2 publications

(2 citation statements)

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“…14 Second, the endobronchial intubation associated with fixed length from the bend to the tip of the preformed tube may necessitate tracheal tube exchange. The low tube exchange rate noted in the Microcuff group in our study is similar to that of 15 This reduced rate of tube exchange confers the benefits of reduced airway trauma associated with repeated laryngoscopy and intubation.…”

Section: Discussionsupporting

confidence: 76%

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Comparison of preformed microcuff and preformed uncuffed endotracheal tubes in pediatric cleft palate surgery—A randomized controlled trial

Kamaladevi,

Mishra,

Rudingwa

et al. 2024

Pediatric Anesthesia

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Background and AimsAirway management in children with oral cleft surgery carries unique challenges, concerning the proximity of the surgical site and the tracheal tube. We hypothesized that using a Microcuff oral RAE tube would reduce tube exchange and migration rate. We aimed to compare the performance of Microsoft and uncuffed oral performed tracheal tubes in children undergoing cleft palate surgeries regarding the rate of tracheal tube exchange, endobronchial intubation, and ventilatory parameters.MethodsOne hundred children scheduled for cleft palate surgery were randomized into two groups. In the uncuffed group (n = 50), the tracheal tube was selected using the Modified Coles formula, and in the Microcuff (n = 50) group, the manufacturer's recommendations were followed. Intraoperatively, we compared the primary outcome of tube exchange using the chi‐square test. The leak pressure and ventilatory parameters after head extension and mouth gag application were measured in both groups.ResultsThe tracheal tube exchange rate was significantly lower in the Microcuff group (0/50) than in uncuffed (19/50) preformed tubes (0 vs. 38% respectively; p <.001). The uncuffed and Microcuff tracheal tube were comparable concerning ventilation parameters and leak pressure of finally placed tubes (17.78 ± 3.95 vs. 19.26 ± 3.81 cm H2O respectively, with a mean difference (95% CI) of −1.48 (−0.01–2.98); p‐value =0.059. Cuff pressure did not vary significantly during the initial hour, and the incidence of postoperative airway morbidity between uncuffed and Microcuff tube was comparable, 5/50 (10%) versus 7/50 (14%) with risk ratio (95% CI) of 0.71(0.24–2.1), p value .49.ConclusionMicrocuff oral preformed tubes performed better than uncuffed tubes regarding tube exchange during cleft palate surgery.

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Section: Discussionsupporting

confidence: 76%

“…in a study involving 2246 children below 5 years of age 4 . A recent study of children under 2 years undergoing cheiloplasty with Microcuff tubes noted an exchange rate of 3.5% 15 . This reduced rate of tube exchange confers the benefits of reduced airway trauma associated with repeated laryngoscopy and intubation.…”

Section: Discussionmentioning

confidence: 97%