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[Finding appropriate tube position by the cuff palpation method in children]
M Okuyama1, M Imai, K Sugawara
1Department of Anesthesiology, Hokkaido University School of Medicine, Sapporo.
Masui. the Japanese Journal of Anesthesiology
|June 1, 1995
Summary
Palpating the endotracheal tube cuff between the cricoid cartilage and suprasternal notch is a reliable method for confirming correct endotracheal tube placement in children, preventing bronchial intubation.
Area of Science:
- Pediatric Anesthesiology
- Airway Management
Background:
- Accurate endotracheal tube placement is critical in pediatric anesthesia.
- Ensuring correct positioning prevents complications like bronchial intubation.
Purpose of the Study:
- To evaluate the efficacy of endotracheal tube cuff palpation for confirming proper placement in children.
- To establish a simple and reliable method for pediatric intubation verification.
Main Methods:
- A cuffed endotracheal tube was used in 59 children aged [age range not specified].
- Tube position was assessed by palpating the cuff between the cricoid cartilage and suprasternal notch.
- Fiberscopic measurement determined the distance from the carina to the tube tip.
Main Results:
- Palpation of the cuff correlated with a safe tube tip distance (>1.0 cm from the carina).
- No complications were reported with the use of cuffed endotracheal tubes in this cohort.
- The method proved rapid and simple for assessing tube position.
Conclusions:
- Cuff palpation is a safe, reliable, and simple technique for verifying endotracheal tube placement in pediatric patients.
- This method aids in preventing mainstem bronchial intubation during pediatric procedures.