Airway Management in Pediatric Patients: Cuff-Solved Problem?

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Authors

KLABUSAYOVÁ Eva KLUČKA Jozef KRATOCHVÍL Milan MUSILOVÁ Tereza VAFEK Václav SKŘÍŠOVSKÁ Tamara DJAKOW Jana KOSINOVÁ Martina HAVRÁNKOVÁ Pavla ŠTOURAČ Petr

Year of publication 2022
Type Article in Periodical
Magazine / Source Children-Basel
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.mdpi.com/2227-9067/9/10/1490
Doi http://dx.doi.org/10.3390/children9101490
Keywords cuff; airway management; pediatric patient; uncuffed tube; cuffed tube
Description Traditionally, uncuffed tubes were used in pediatric patients under 8 years in pursuit of reducing the risk of postextubation stridor. Although computed tomography and magnetic resonance imaging studies confirmed that the subglottic area remains the narrowest part of pediatric airway, the use of uncuffed tubes failed to reduce the risk of subglottic swelling. Properly used cuffed tubes (correct size and correct cuff management) are currently recommended as the first option in emergency, anesthesiology and intensive care in all pediatric patients. Clinical practice particularly in the intensive care area remains variable. This review aims to analyze the current recommendation for airway management in children in emergency, anesthesiology and intensive care settings.
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