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Accidental bronchial intubation with RAE tubes
1Department of Anaesthesia, Hospital for Sick Children, London.
Anaesthesia
|January 1, 1991
Summary
Performed tracheal tubes in paediatric anaesthesia have a high incidence of bronchial intubation (20%) and incorrect tube length (32%), despite appropriate sizing. This highlights potential risks associated with their use in children.
Area of Science:
- Anaesthesiology
- Paediatric Medicine
- Medical Devices
Background:
- Performed tracheal tubes are commonly used in paediatric anaesthesia.
- Their design is believed to enhance reliable positioning compared to conventional tubes.
- Potential complications, such as bronchial intubation, require investigation.
Purpose of the Study:
- To evaluate the incidence of bronchial intubation with performed tracheal tubes in paediatric patients.
- To assess the accuracy of tracheal tube length in relation to patient age.
- To discuss the implications of positioning errors.
Main Methods:
- A study was conducted on 40 paediatric patients undergoing anaesthesia.
- The positioning of performed tracheal tubes was assessed.
- Tracheal tube length was measured and compared to patient age.
Main Results:
- Bronchial intubation occurred in 20% of patients.
- The tracheal tube was found to be too long in 32% of cases.
- Tube size was appropriate for the child's age in all studied patients.
Conclusions:
- Performed tracheal tubes may not guarantee reliable positioning in paediatric anaesthesia.
- Incorrect tube length is a significant issue, potentially leading to complications.
- Further research is needed to optimize the use of these devices in children.