Pediatric Application of Cuffed Endotracheal Tube
A young child’s larynx was formerly believed to be narrowest at the cricoid level, circular in section, and funnel shaped. This supported the routine use of uncuffed endotracheal tubes (ETTs) in young children despite the benefits of cuffed ETTs, such as lower risk for air leakage and aspiration. In...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2023-05-01
|
| Series: | Western Journal of Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/6pj0s3ws |
| _version_ | 1797798191995813888 |
|---|---|
| author | Jung Heon Kim Jung Hwan Ahn Yun Jeong Chae |
| author_facet | Jung Heon Kim Jung Hwan Ahn Yun Jeong Chae |
| author_sort | Jung Heon Kim |
| collection | DOAJ |
| description | A young child’s larynx was formerly believed to be narrowest at the cricoid level, circular in section, and funnel shaped. This supported the routine use of uncuffed endotracheal tubes (ETTs) in young children despite the benefits of cuffed ETTs, such as lower risk for air leakage and aspiration. In the late 1990s, evidence supporting the pediatric use of cuffed tubes emerged largely from anesthesiology studies, while some technical flaws of the tubes remained a concern. Since the 2000s, imaging-based studies have clarified laryngeal anatomy, revealing that it is narrowest at the glottis, elliptical in section, and cylindrical in shape. The update was contemporaneous with technical advances in the design, size, and material of cuffed tubes. The American Heart Association currently recommends the pediatric use of cuffed tubes. In this review, we present the rationale for using cuffed ETTs in young children based on our updated knowledge of pediatric anatomy and technical advances. |
| first_indexed | 2024-03-13T03:59:47Z |
| format | Article |
| id | doaj.art-3529c71145ab4759b6c30077271a0532 |
| institution | Directory Open Access Journal |
| issn | 1936-9018 |
| language | English |
| last_indexed | 2024-03-13T03:59:47Z |
| publishDate | 2023-05-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-3529c71145ab4759b6c30077271a05322023-06-21T18:00:40ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-90182023-05-0124310.5811/westjem.59560wjem-24-579Pediatric Application of Cuffed Endotracheal TubeJung Heon Kim0Jung Hwan Ahn1Yun Jeong Chae2Ajou University School of Medicine, Department of Emergency Medicine, Suwon, KoreaAjou University School of Medicine, Department of Emergency Medicine, Suwon, KoreaAjou University School of Medicine, Department of Anesthesiology, Suwon, KoreaA young child’s larynx was formerly believed to be narrowest at the cricoid level, circular in section, and funnel shaped. This supported the routine use of uncuffed endotracheal tubes (ETTs) in young children despite the benefits of cuffed ETTs, such as lower risk for air leakage and aspiration. In the late 1990s, evidence supporting the pediatric use of cuffed tubes emerged largely from anesthesiology studies, while some technical flaws of the tubes remained a concern. Since the 2000s, imaging-based studies have clarified laryngeal anatomy, revealing that it is narrowest at the glottis, elliptical in section, and cylindrical in shape. The update was contemporaneous with technical advances in the design, size, and material of cuffed tubes. The American Heart Association currently recommends the pediatric use of cuffed tubes. In this review, we present the rationale for using cuffed ETTs in young children based on our updated knowledge of pediatric anatomy and technical advances.https://escholarship.org/uc/item/6pj0s3ws |
| spellingShingle | Jung Heon Kim Jung Hwan Ahn Yun Jeong Chae Pediatric Application of Cuffed Endotracheal Tube Western Journal of Emergency Medicine |
| title | Pediatric Application of Cuffed Endotracheal Tube |
| title_full | Pediatric Application of Cuffed Endotracheal Tube |
| title_fullStr | Pediatric Application of Cuffed Endotracheal Tube |
| title_full_unstemmed | Pediatric Application of Cuffed Endotracheal Tube |
| title_short | Pediatric Application of Cuffed Endotracheal Tube |
| title_sort | pediatric application of cuffed endotracheal tube |
| url | https://escholarship.org/uc/item/6pj0s3ws |
| work_keys_str_mv | AT jungheonkim pediatricapplicationofcuffedendotrachealtube AT junghwanahn pediatricapplicationofcuffedendotrachealtube AT yunjeongchae pediatricapplicationofcuffedendotrachealtube |