Comparison of cuffed and uncuffed preformed oral pediatric tracheal tubes

Weiß, Markus; Bernet, Vera; Stutz, K.; Dullenkopf, Alexander; Maino, Paolo

doi:10.1111/j.1460-9592.2006.01844.x

Cited by 27 publications

(35 citation statements)

References 25 publications

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“…Similar design problems have been encountered with preformed UETT and CETT for children. [31] These tubes may lead to trans-vocal cord cuff placement when the tracheal tube is placed according to the bend because of reduced bend-to-tracheal tube tip distance and the presence of a Murphy eye and longer cuffs.…”

Section: Introductionmentioning

confidence: 99%

Pediatric cuffed endotracheal tubes

Bhardwaj

2013

J Anaesthesiol Clin Pharmacol

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Endotracheal intubation in children is usually performed utilizing uncuffed endotracheal tubes for conduct of anesthesia as well as for prolonged ventilation in critical care units. However, uncuffed tubes may require multiple changes to avoid excessive air leak, with subsequent environmental pollution making the technique uneconomical. In addition, monitoring of ventilatory parameters, exhaled volumes, and end-expiratory gases may be unreliable. All these problems can be avoided by use of cuffed endotracheal tubes. Besides, cuffed endotracheal tubes may be of advantage in special situations like laparoscopic surgery and in surgical conditions at risk of aspiration. Magnetic resonance imaging (MRI) scans in children have found the narrowest portion of larynx at rima glottides. Cuffed endotracheal tubes, therefore, will form a complete seal with low cuff pressure of <15 cm H2O without any increase in airway complications. Till recently, the use of cuffed endotracheal tubes was limited by variations in the tube design marketed by different manufacturers. The introduction of a new cuffed endotracheal tube in the market with improved tracheal sealing characteristics may encourage increased safe use of these tubes in clinical practice. A literature search using search words "cuffed endotracheal tube" and "children" from 1980 to January 2012 in PUBMED was conducted. Based on the search, the advantages and potential benefits of cuffed ETT are reviewed in this article.

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Section: Introductionmentioning

confidence: 99%

Pediatric cuffed endotracheal tubes

Bhardwaj

2013

J Anaesthesiol Clin Pharmacol

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“…It can be due to the fact that our capnography data may not be reliable because we mask ventilated the patients before intubation and there were unequal periods of hypoventilation involved during the placement of NETT. The use of cuffed endotracheal tubes in pediatrics is still controversial [24][25][26]. Many studies show the efficacy of cuffed NETT in terms of lower gas consumption and ease of intubation [24,[27][28][29].…”

Section: Discussionmentioning

confidence: 99%

A randomized, single-blinded, prospective study that compares complications between cuffed and uncuffed nasal endotracheal tubes of different sizes and brands in pediatric patients

Armendi

Butt

Shukry

et al. 2015

Journal of Clinical Anesthesia

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“…Interestingly, Holzki also reported on the inappropriate design of cuffed pediatric tracheal tubes and on overinflated tube cuffs within the pediatric airway being a major source of cuff related airway injury [16]. Similarly, other authors have reported several shortcomings in the design of cuffed pediatric tracheal tubes [17][18][19][20][21][22].…”

Section: Cuffed Tracheal Tubes In Children: Pastmentioning

confidence: 97%

“…This can lead to serious problems with tracheal tube size selection, repeated reintubations and to airway damage [20].…”

Section: Outer Diameter Of Tracheal Tubesmentioning

confidence: 99%

Cuffed tracheal tubes in children: past, present and future

Weiß¹,

Dullenkopf

2007

Expert Review of Medical Devices

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This article reviews recent developments and core topics in the use and design of pediatric cuffed tracheal tubes. A concept for an appropriate pediatric cuffed tracheal tube is introduced. The main points in this concept are evidence-based tracheal tube size recommendation, continuous cuff pressure monitoring and a pediatric tracheal tube with an anatomically-based intubation depth mark and a short distally placed high-volume-low pressure cuff made from an ultra-thin polyurethane membrane with markedly improved tracheal sealing performance. The main points in proper handling of cuffed tracheal tubes in children are highlighted. Finally, an outlook on future developments in the design of pediatric cuffed tracheal tubes and an overview of tasks to be performed in evaluating them is given.

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Comparison of cuffed and uncuffed preformed oral pediatric tracheal tubes

Cited by 27 publications

References 25 publications

Pediatric cuffed endotracheal tubes

Pediatric cuffed endotracheal tubes

A randomized, single-blinded, prospective study that compares complications between cuffed and uncuffed nasal endotracheal tubes of different sizes and brands in pediatric patients

Cuffed tracheal tubes in children: past, present and future

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