The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in Children

Background:Uncuffed endotracheal tube(ETT) were considered for children less than 8 years.Meanwhile, aspiration around ETT in patients undergoing adenotonsillectomy is concerned.We compared cuffed versus uncuffed ETT regarding respiratory complications following adenotonsillectomy.  Methods: 128 chi...

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Main Authors: Masoud Kaviani, Behzad Maghsoudi, Shojaolhagh Tariq, Seyed Basir Hashemi
Format: Article
Language:English
Published: Iran University of Medical Sciences 2010-11-01
Series:Medical Journal of The Islamic Republic of Iran
Subjects:
Online Access:http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-119&slc_lang=en&sid=1
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author Masoud Kaviani
Behzad Maghsoudi
Shojaolhagh Tariq
Seyed Basir Hashemi
author_facet Masoud Kaviani
Behzad Maghsoudi
Shojaolhagh Tariq
Seyed Basir Hashemi
author_sort Masoud Kaviani
collection DOAJ
description Background:Uncuffed endotracheal tube(ETT) were considered for children less than 8 years.Meanwhile, aspiration around ETT in patients undergoing adenotonsillectomy is concerned.We compared cuffed versus uncuffed ETT regarding respiratory complications following adenotonsillectomy.  Methods: 128 children aged 2-8 yr were divided to two groups of 64 each. Uncuffed and cuffed tubes were used respectively in the uncuffed (UG) and cuffed (CG) groups. Anesthesia was routinely performed in a identical pattern in all patients. The number of attempts to reach the appropriate tube size was recorded. After extubation,the patients observed for the occurrence of cough, hypoxemia, and stridor.  Results: Less reintubation attempts were needed in the CG (p.value=0.002).In the UG, 31.3% and in the CG 10.9% had some respiratory complications (P.value=0.009).The change of the initial tube had significant effect on the occurrence of croup and stridor (P.value= 0.000).Conclusion:The use of cuffed tube in 2-8 yr, could lower the incidence of respiratory  complications following adenotonsillectomy.It also decreases the number of intubation attempts needed to reach the appropriate tube size.
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spelling doaj.art-6ff122d5507d4c9aa3f8126f3229a8142022-12-21T21:04:08ZengIran University of Medical SciencesMedical Journal of The Islamic Republic of Iran1016-14302251-68402010-11-01243151158The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in ChildrenMasoud KavianiBehzad MaghsoudiShojaolhagh TariqSeyed Basir HashemiBackground:Uncuffed endotracheal tube(ETT) were considered for children less than 8 years.Meanwhile, aspiration around ETT in patients undergoing adenotonsillectomy is concerned.We compared cuffed versus uncuffed ETT regarding respiratory complications following adenotonsillectomy.  Methods: 128 children aged 2-8 yr were divided to two groups of 64 each. Uncuffed and cuffed tubes were used respectively in the uncuffed (UG) and cuffed (CG) groups. Anesthesia was routinely performed in a identical pattern in all patients. The number of attempts to reach the appropriate tube size was recorded. After extubation,the patients observed for the occurrence of cough, hypoxemia, and stridor.  Results: Less reintubation attempts were needed in the CG (p.value=0.002).In the UG, 31.3% and in the CG 10.9% had some respiratory complications (P.value=0.009).The change of the initial tube had significant effect on the occurrence of croup and stridor (P.value= 0.000).Conclusion:The use of cuffed tube in 2-8 yr, could lower the incidence of respiratory  complications following adenotonsillectomy.It also decreases the number of intubation attempts needed to reach the appropriate tube size.http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-119&slc_lang=en&sid=1AdenotonsillectomyTracheal IntubationCoughHypoxemiaStridorNdotracheal TubeCuffPostoperative
spellingShingle Masoud Kaviani
Behzad Maghsoudi
Shojaolhagh Tariq
Seyed Basir Hashemi
The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in Children
Medical Journal of The Islamic Republic of Iran
Adenotonsillectomy
Tracheal Intubation
Cough
Hypoxemia
Stridor
Ndotracheal Tube
Cuff
Postoperative
title The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in Children
title_full The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in Children
title_fullStr The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in Children
title_full_unstemmed The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in Children
title_short The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in Children
title_sort effect of cuffed endotracheal tube on respiratory complication following adenotonsillectomy in children
topic Adenotonsillectomy
Tracheal Intubation
Cough
Hypoxemia
Stridor
Ndotracheal Tube
Cuff
Postoperative
url http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-119&slc_lang=en&sid=1
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