A clinical comparative study of microcuff paediatric tracheal tube v/s uncuffed endotracheal tubes in paediatric airway management
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2017, Vol 4, Issue 2
Abstract
Background: In paediatric airway management, uncuffed Endo tracheal tubes(UETT) were always thought to be safe for practice. Cuffed ETT(CETT) were found to cause airway edema and increased resistance to airflow in the post extubation period. With the advent of Microcuff paediatric tracheal tube (MPTT), the airway management protocol has led to tremendous change. The goal of our study was to compare TT exchange rates and post extubation stridor between MPTT and uncuffed TTs in paediatrics. Methods: 140 paediatric patients aged 1 to 6 yrs., requiring general anesthesia were divided into group ‘MPTT’ (Microcuff Paediatric Tracheal Tube) and group ‘U’ (Uncuffed ETT) randomly. Patients were intubated orally following which incidence of number of tube exchange rates and post-extubation stridor for both MPTT and uncuffed tubes was noted. In addition, airway sealing pressure was noted for MPTT. Results: We found that, there was less tracheal tube exchange rate with MPTT and post extubation stridor was comparable with uncuffed ETT. Conclusion: This clinical study shows that the MPTT are safe for use as they have fewer incidence of airway morbidity namely tube exchange rates and post extubation stridor.
Authors and Affiliations
Pooja MN, Uma BR
Keywords
Related Articles
- EP ID EP312762
- DOI 10.18231/2394-4994.2017.0049
- Views 85
- Downloads 0
Ophthalmological changes after posterior spine surgeries: A prospective study
Introduction: Postoperative visual loss (POVL) after posterior approach to spine surgeries is a devastating complication necessitating a prospective study. The primary aim was to identify ophthalmological changes contrib...
A prospective study of associated surgical hazards in trans-urethral resection of bladder tumor (turbt) comparing blind versus nerve stimulator guided obturator nerve block with spinal block
Introduction: Bladder cancer is the ninth most commonly diagnosed cancer worldwide. The overall incidence has increased by 10% since last 30 years and 5 years survival rate by 50% in European countries.1 Transurethral re...
Efficacy of intravenous nitroglycerine in attenuation of hemodynamics to laryngoscopy and intubation
Background: Different techniques with different drugs have been suggested to attenuate haemodynamics in responses to laryngoscopy and intubation. Some of these are: topical and intravenous lignocaine, deep inhalational a...
Evaluation and comparison of intravenous clonidine and intravenous dexmedetomidine on duration of bupivacaine spinal anesthesia
Context: Alpha-2 agonists improve the block characteristics in regional anesthesia, when added to local anesthetics. Aim: To evaluate and compare efficacy of dexmedetomidine and clonidine, as an intravenous adjuvant to i...
Role of nitroglycerine as tocolytic agent during double valve replacement surgery in pregnant patient with successful fetal outcome
Cardiovascular disease is an important non-obstetric cause of maternal and fetal morbidity and mortality during pregnancy. Cardiac surgery during pregnancy is usually well tolerated by mother but the fetal outcome is var...