• A&A practice · May 2018

    Adjusting Pediatric Endotracheal Tube Depths Relative to the Cricoid by Using Longitudinal Ultrasound Images of the Saline-Inflated Cuff in the Trachea: Two Case Reports.

    • Kenji Kayashima, Hayato Mizuyama, Miyuki Takesue, Taku Doi, Keiko Imai, and Koji Murashima.
    • From the Department of Anesthesia, Japan Community Health Care Organization, Kyushu Hospital, Kitakyushu, Fukuoka, Japan.
    • A A Pract. 2018 May 1; 10 (9): 235-238.

    AbstractCuff positions of endotracheal tubes should be confirmed to ensure safe anesthesia. However, determining the cuff positions relative to the cricoid by using chest radiography or fiberoptic bronchoscopy is difficult. We identified the cephalad edges of saline-inflated pediatric endotracheal tube cuffs relative to the cricoid on longitudinal ultrasound images over the larynx and trachea in 2 children. Thereafter, we adjusted the endotracheal tube depths and confirmed the cuff positions relative to the cricoid. Longitudinal ultrasound images over the larynx and trachea can help confirm the distance from the caudal edge of the cricoid to the saline-inflated cuff.

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