Literature DB >> 21603336

Pediatric cuffed endotracheal tubes: an evolution of care.

Connie Taylor1, Lekha Subaiya, Daniel Corsino.   

Abstract

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.

Entities:  

Keywords:  Cuffed endotracheal tube; equipment design; pediatric airway; stridor; subglottic stenosis; tracheal intubation; ventilation

Year:  2011        PMID: 21603336      PMCID: PMC3096176     

Source DB:  PubMed          Journal:  Ochsner J        ISSN: 1524-5012


  28 in total

1.  Cuffed tubes in children: a 3-year experience in a single institution.

Authors:  I Murat
Journal:  Paediatr Anaesth       Date:  2001-11       Impact factor: 2.556

2.  Fluid leakage past tracheal tube cuffs: evaluation of the new Microcuff endotracheal tube.

Authors:  Alexander Dullenkopf; Andreas Gerber; Markus Weiss
Journal:  Intensive Care Med       Date:  2003-08-16       Impact factor: 17.440

3.  Fit and seal characteristics of a new paediatric tracheal tube with high volume-low pressure polyurethane cuff.

Authors:  A Dullenkopf; A C Gerber; M Weiss
Journal:  Acta Anaesthesiol Scand       Date:  2005-02       Impact factor: 2.105

4.  Laryngotracheal stenosis in children after intubation. Report of five cases.

Authors:  E Wiel; B Vilette; J A Darras; P Scherpereel; F Leclerc
Journal:  Paediatr Anaesth       Date:  1997       Impact factor: 2.556

5.  Complications of nasotracheal intubation in neonates, infants and children: a review of 4 years' experience in a children's hospital.

Authors:  A E Black; D J Hatch; N Nauth-Misir
Journal:  Br J Anaesth       Date:  1990-10       Impact factor: 9.166

Review 6.  Neonatal subglottic stenosis--incidence and trends.

Authors:  D L Walner; M S Loewen; R E Kimura
Journal:  Laryngoscope       Date:  2001-01       Impact factor: 3.325

7.  Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs.

Authors:  S Eschertzhuber; B Salgo; A Schmitz; W Roth; A Frotzler; C H Keller; A C Gerber; M Weiss
Journal:  Acta Anaesthesiol Scand       Date:  2010-06-15       Impact factor: 2.105

8.  Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia.

Authors:  H H Khine; D H Corddry; R G Kettrick; T M Martin; J J McCloskey; J B Rose; M C Theroux; M Zagnoev
Journal:  Anesthesiology       Date:  1997-03       Impact factor: 7.892

9.  Assessment of the prevalence of microaspiration by gastric pepsin in the airway of ventilated children.

Authors:  Vani Gopalareddy; Zhaoping He; Sam Soundar; Laura Bolling; Mansi Shah; Scott Penfil; John J McCloskey; Devendra I Mehta
Journal:  Acta Paediatr       Date:  2007-12-10       Impact factor: 2.299

10.  Laryngeal damage due to an unexpectedly large and inappropriately designed cuffed pediatric tracheal tube in a 13-month-old child.

Authors:  Claudia M Dillier; Daniel Trachsel; Werner Baulig; Claudine Gysin; Andreas C Gerber; Markus Weiss
Journal:  Can J Anaesth       Date:  2004-01       Impact factor: 5.063

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  8 in total

1.  The Effects of Mouth Opening and Throat Pack Placement on Uncuffed Nasal Endotracheal Tube Leakage and Delivered Tidal Volumes in Mechanically Ventilated Pediatric Patients Undergoing Dental Procedures.

Authors:  Katie E Bradford; Louis I Siegelman; Walter J Psoter
Journal:  Anesth Prog       Date:  2018

Review 2.  Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under.

Authors:  Flavia A De Orange; Rebeca Gac Andrade; Andrea Lemos; Paulo Sgn Borges; José N Figueiroa; Pete G Kovatsis
Journal:  Cochrane Database Syst Rev       Date:  2017-11-17

3.  Interleukin-6 as a marker of inflammation secondary to endotracheal intubation in pediatric patients.

Authors:  Panagiotis V S Vasileiou; Athanasios Chalkias; Vasiliki Brozou; Mary Papageorgiou-Brousta; George Kaparos; Anastasios Koutsovasilis; Theodoros Xanthos; Nicoletta Iacovidou
Journal:  Inflammation       Date:  2013-12       Impact factor: 4.092

Review 4.  Cuffed versus uncuffed endotracheal tubes for neonates.

Authors:  Vedanta Dariya; Luca Moresco; Matteo Bruschettini; Luc P Brion
Journal:  Cochrane Database Syst Rev       Date:  2022-01-24

5.  Clinical performance of cuffed versus uncuffed preformed endotracheal tube in pediatric patients undergoing cleft palate surgery.

Authors:  S Mukhopadhyay; S Mukhopadhyay; D Bhattacharya; B K Bandyopadhyay; M Mukherjee; R Ganguly
Journal:  Saudi J Anaesth       Date:  2016 Apr-Jun

6.  Prediction of endotracheal tube size in children by predicting subglottic diameter using ultrasonographic measurement versus traditional formulas.

Authors:  Shubhi Singh; Parul Jindal; Priya Ramakrishnan; Shailendra Raghuvanshi
Journal:  Saudi J Anaesth       Date:  2019 Apr-Jun

Review 7.  Anaesthesia for children with bronchial asthma and respiratory infections.

Authors:  M C Rajesh
Journal:  Indian J Anaesth       Date:  2015-09

8.  Endotracheal cuff pressures in the PICU: Incidence of underinflation and overinflation.

Authors:  Richard W Wettstein; Donna D Gardner; Sadie Wiatrek; Kristina E Ramirez; Ruben D Restrepo
Journal:  Can J Respir Ther       Date:  2020-01-21
  8 in total

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