• Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2016

    Review

    Cuffed endotracheal tubes for neonates and young infants: a comprehensive review.

    • Rebecca Thomas, Shripada Rao, and Corrado Minutillo.
    • Neonatal Clinical Care Unit, Princess Margaret Hospital for Children, Perth, Western Australia, Australia Centre for Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
    • Arch. Dis. Child. Fetal Neonatal Ed. 2016 Mar 1; 101 (2): F168-74.

    AbstractTraditionally, uncuffed endotracheal tubes (ETTs) have been used for artificial ventilation of infants and children. More recently, newer designed high-volume low-pressure (HVLP) cuffed ETTs are being used with increasing frequency in infants from birth. Considering that many paediatric anaesthetists and intensivists are already using cuffed ETTs in infants >3 kg from birth, should neonatologists be doing the same? This review examines the reasons behind the traditional use of uncuffed ETTs and the problems associated with their use; newer HVLP cuffed ETTs and what they can potentially offer neonates; and reviews evidence from studies comparing the use of cuffed and uncuffed ETTs in neonates and small infants.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

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