Use of cuffed endotracheal tubes in infants less than 5 kilograms: A retrospective cohort study
| Autor: | Joseph D. Tobias, Shabana Z. Shafy, Aymen Naguib, Zachary C. Williams, Stephani S. Kim |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Endotracheal intubation Tertiary care Cohort Studies 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Intubation Intratracheal Airway anatomy Humans Medicine Airway Management Child Respiratory Sounds Retrospective Studies business.industry Infant Newborn Electronic medical record Infant Retrospective cohort study Equipment Design General Medicine Perioperative 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Emergency medicine Cohort Surgery Airway management business |
| Zdroj: | Journal of Pediatric Surgery. 57:375-381 |
| ISSN: | 0022-3468 |
| Popis: | Improved understanding of airway anatomy and refinement of equipment have led to the increased use of cuffed endotracheal tubes (ETTs) in infants and children. Despite expanded evidence on the potential advantages of cuffed ETTs in pediatric patients, there remains limited data on their use in infants less than 5 kilograms (kg). The current study retrospectively evaluates the perioperative use of cuffed ETTs in infants weighing 2-5 kg.This is a retrospective study from a tertiary care children's hospital involving a 3-year period. Data regarding anesthetic care, airway management, and postoperative course were retrospectively retrieved from the electronic medical record.The study cohort included 1162 patients, 1086 of whom had their tracheas intubated with a cuffed ETT and 76 with an uncuffed ETT. Patients were divided into two groups for analysis: 2 to3 kg and 3 to 5 kg. In both weight groups, cuffed ETTs resulted in a decreased need for more than one laryngoscopy and a change in ETT size with no increase in postoperative airway effects including stridor.These data provide additional information regarding the efficacy and safety of cuffed ETTs in neonates and infants. |
| Databáze: | OpenAIRE |
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