Pediatric cuffed endotracheal tubes: An evolution of care

Ochsner Journal

Volumn 11, Issue 1, 2011, Pages 52-56

  Taylor, Connie ^a   Subaiya, Lekha ^a   Corsino, Daniel ^a  

^a OCHSNER CLINIC FOUNDATION   (United States)

Author keywords

Cuffed endotracheal tube; Equipment design; Pediatric airway; Stridor; Subglottic stenosis; Tracheal intubation; Ventilation

Indexed keywords

ADVERSE OUTCOME; AIRWAY OBSTRUCTION; ARTICLE; BIOMEDICAL TECHNOLOGY ASSESSMENT; CHILD CARE; CHILD SAFETY; CLINICAL DECISION MAKING; CLINICAL PRACTICE; CLINICAL PROTOCOL; COUGHING; CROUP; DEVICE SAFETY; ENDOTRACHEAL CUFF; ENDOTRACHEAL INTUBATION; ENDOTRACHEAL TUBE; EQUIPMENT DESIGN; HUMAN; LARYNX EDEMA; LARYNX SPASM; PATIENT CARE; RISK ASSESSMENT; THERAPY EFFECT;

EID: 79953290558     PISSN: 15245012     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (32)

1. Gerber AC. Microcuff pediatric tube: now anesthesiologists can use cuffed endotracheal tubes in children. In: New Advances in Pediatric Ventilation: Revolutionizing the Management of Pediatric Intubation with Cuffed Tubes. Kimberly-Clark, Adair Greene McCann; 2008:10-15.
2. Berry FA. Anesthetic Management of Difficult and Routine Pediatric Patients. 2nd ed. New York, NY: Churchill Livingston Inc; 1990.
3. Litman RS, Weissend EE, Shibata D, Westesson PL. Developmental changes of laryngeal dimensions in unparalyzed, sedated children. Anesthesiology. 2003;98(1):41-45.
4. Eckenhoff JE. Some anatomic considerations of the infant larynx influencing endotracheal anesthesia. Anesthesiology. 1951;12(4):401-410.
5. Butz RO Jr. Length and cross-section growth patterns in the human trachea. Pediatrics. 1968;42(2):336-341.
6. Black AE, Hatch DJ, Nauth-Misir N. Complications of nasotracheal intubation in neonates, infants and children: a review of 4 years' experience in a children's hospital. Br J Anaesth. 1990;65(4):461-467.
7. Fine GF, Borland LM. The future of the cuffed endotracheal tube. Paediatr Anaesth. 2004;14(1):38-42.
8. Coté CJ, Todres ID, Goudsouzian NG, Ryan JF. A Practice of Anesthesia for Infants and Children. 3rd ed. Philadelphia, PA: WB Saunders Company; 2001.
9. Bell C, Kain ZN, Hughes C. The Pediatric Anesthesia Handbook. 2nd ed. Philadelphia, PA: Mosby; 1997.
10. Khine HH, Corddry DH, Kettrick RG, et al. Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia. Anesthesiology. 1997;86(3):627-631.
11. Suominen P, Taivainen T, Tuominen N, et al. Optimally fitted tracheal tubes decrease the probability of post extubation adverse events in children undergoing general anesthesia. Paediatr Anaesth. 2006;16(6):641-647.
12. Gopalareddy V, He Z, Soundar S, et al. Assessment of the prevalence of microaspiration by gastric pepsin in the airway of ventilated children. Acta Paediatr. 2008;97(1):55-60.
13. Eschertzhuber S, Salgo B, Schmitz A, et al. Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs. Acta Anaesthesiol Scand. 2010;5(7):855-858.
14. Murat I. Cuffed tubes in children: a 3-year experience in a single institution. Paediatr Anaesth. 2001;11(6):748-749.
15. Wood C, Ewen A, Goresky G, Sheppard S. Exposure of operating room personnel to nitrous oxide during paediatric anesthesia. Can J Anaesth. 1992;39(7):682-686.
16. Deakers TW, Reynolds G, Stretton M, Newth CJL. Cuffed endotracheal tubes in pediatric intensive care. J Pediatr. 1994;125(1):57-62.
17. Newth CJL, Rachman B, Patel N, Hammer J. The use of cuffed versus uncuffed endotracheal tubes in pediatric intensive care. J Pediatr. 2004;144(3):333-337.
18. Weiss M, Dullenkopf A, Gysin C, Dillier CM, Gerber AC. Shortcomings of cuffed paediatric tracheal tubes. Br J Anaesth. 2004;92(1):78-88.
19. Dillier CM, Trachsel D, Bauling W, Gysin C, Gerber AC, Weiss M. Laryngeal damage due to an unexpectedly large and inappropriately designed cuffed pediatric tracheal tube in a 13- month-old child. Can J Anaesth. 2004;51(1):72-75.
20. Weil E, Vilette B, Darras JA, Scherpereel P, Leclerc F. Laryngotracheal stenosis in children after intubation: report of five cases. Paediatr Anaesth. 1997;7(5):415-419.
21. Walner DL, Loewen MS, Kimura RE. Neonatal subglottic stenosis-incidence and trends. Laryngoscope. 2001;111(1):48-51.
22. Dullenkopf A, Gerber AC, Weiss M. Fit and seal characteristics of a new paediatric tracheal tube with high volume-low pressure polyurethane cuff. Acta Anaesthesiol Scand. 2005;49(2): 232-237.
23. Weiss M, Dullenkopf A, Fischer JE, et al. Prospective randomized controlled multi-centre trial of cuffed or uncuffed endotracheal tubes in small children. Br J Anaesth. 2009;103(6):867-873.
24. Dullenkopf A, Gerber A, Weiss M. Fluid leakage past tracheal tube cuffs: evaluation of the new Microcuff endotracheal tube. Intensive Care Med. 2003;29(10):1849-1853.
25. Miller MA, Arndt JL, Konkle MA, et al. A polyurethane cuffed endotracheal tube is associated with decreased rates of ventilator associated pneumonia [published online ahead of print July 22, 2010]. J Crit Care. doi: 10.1016/j.jcrc.2010.05.035.
26. Lönnqvist PA. Cuffed or uncuffed tracheal tubes during anaesthesia in infants and small children: time to put the eternal discussion to rest? Br J Anaesth. 2009;103(6):783-785.
27. Flynn PE, Black AE, Mitchell V. The use of cuffed tracheal tubes for paediatric tracheal intubation, a survey of specialist practice in the United Kingdom. Eur J Anaesthesiol. 2008;25(8):685-688.
28. Cox RG. Should cuffed endotracheal tubes be used routinely in children? Can J Anaesth. 2005;52(7):669-674.
29. Ho AMH, Karmakar MK. Cuffed versus uncuffed pediatric endotracheal tubes. Can J Anaesth. 2006;53(1):106-107.
30. Ashtekar CS, Wardhaugh A. Do cuffed endotracheal tubes increase the risk of airway mucosal injury and post-extubation stridor in children? Arch Dis Child. 2005;90(11):1198-1199.
31. Weber T, Salvi N, Orliaguet G, Wolf A. Pro-con debate cuffed vs non-cuffed endotracheal tubes for pediatric anesthesia. Paediatr Anaesth. 2009;19(suppl 1):46-54.
32. Holzki J, Laschat M, Puder C. Stridor is not a scientifically valid outcome measure for assessing airway injury. Paediatr Anaesth. 2009;19(suppl 1):180-197.