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Published on: January 17, 2011
Pediatric cuffed endotracheal tubes: an evolution of care
Connie Taylor1, Lekha Subaiya, Daniel Corsino
1Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA.
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.
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