Evaluation of a new recommendation for improved cuffed tracheal tube size selection in infants and small children

Acta Anaesthesiologica Scandinavica
B SalgoM Weiss

Abstract

The purpose of this study was to evaluate a new recommendation for tracheal tube size selection using second-generation Microcuff paediatric endotracheal tubes (PETs) with optimized outer diameter (OD) of the distal tube. With Ethics Committee approval, patients aged from birth to 5 years, requiring general anaesthesia with orotracheal intubation, were included. Tracheal tube sizes were selected as follows: internal diameter (ID) 3.0 mm, birth (if > or =3 kg) to <6 months; ID 3.5 mm, 6 to <18 months; ID 4.0 mm, 18 months to <3 years; ID 4.5 mm, 3 to <5 years. Tracheal tubes with the cuff not inflated were classified as too large if no air leak was obtained at an airway pressure of < or =20 cmH2O. Post-intubation stridor requiring therapy was noted. Three hundred and fifty children were studied. Nine tracheal tubes (2.6%) were too large and had to be exchanged: in patients requiring tracheal tubes of ID 3.0 mm and 3.5 mm, three and four tracheal tubes, respectively, and, in patients requiring tracheal tubes of ID 4.0 mm and 4.5 mm, one tracheal tube in each group. In three patients (0.9%), post-intubation stridor occurred which required therapy. The new recommendation presented for the use of second-generation Microcuff PETs wit...Continue Reading

References

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Citations

Nov 6, 2009·British Journal of Anaesthesia·M WeissUNKNOWN European Paediatric Endotracheal Intubation Study Group
Aug 6, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Angela T WratneyIra M Cheifetz
Apr 18, 2009·Anesthesia and Analgesia·Priti G DalalDavid Molter
Jun 13, 2013·Anesthesia and Analgesia·Metee SirisopanaKaren A Brown
Mar 16, 2013·Journal of Anaesthesiology, Clinical Pharmacology·Neerja Bhardwaj
Oct 20, 2010·Resuscitation·Jerry P NolanUNKNOWN ERC Guidelines Writing Group
Mar 6, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Alexander R SchmidtPhilipp Stein
Oct 16, 2015·Archives of Disease in Childhood. Fetal and Neonatal Edition·Rebecca ThomasCorrado Minutillo
Oct 20, 2015·Resuscitation·Ian K MaconochieUNKNOWN Paediatric life support section Collaborators
Jul 4, 2009·Paediatric Anaesthesia·Lisa Leong, Ann E Black
Jun 22, 2010·Acta Anaesthesiologica Scandinavica·S EschertzhuberM Weiss
Aug 25, 2016·Journal of Clinical Anesthesia·Jennifer C DeMicheleJill M Cholette
Oct 19, 2016·Clinical and Experimental Emergency Medicine·Do Kyun KimSung Oh Hwang
Dec 23, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Mineto KamataJoseph D Tobias
Jul 14, 2018·Paediatric Anaesthesia·Jörg ThomasAlexander Robert Schmidt
Sep 3, 2010·Anesthesiology·Masayuki ShibasakiDaniel I Sessler
Dec 26, 2006·Expert Review of Medical Devices·Markus Weiss, Alexander Dullenkopf
Aug 10, 2017·Acta Anaesthesiologica Scandinavica·Ch BothA R Schmidt
Aug 15, 2015·Anesthesia and Analgesia·Madhankumar SathyamoorthySatyan Lakshminrusimha
Jan 15, 2013·Anesthesiology·Madhankumar SathyamoorthyDoron Feldman
Apr 8, 2021·Anesthesia Progress·Wakana OdaHitoshi Niwa
Apr 22, 2021·Archives of Disease in Childhood. Fetal and Neonatal Edition·Rebecca E ThomasShripada C Rao

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