Anesthetic Gas Leakage in Children During Tonsillectomy: a Comparison of Cuffed and Uncuffed Tracheal Tubes

Launched by STATE UNIVERSITY OF NEW YORK AT BUFFALO · Mar 30, 2016

Keywords

ClinConnect Summary

For the past 6 decades, uncuffed tubes have been used for the children less than 8 years of age out of a fear that cuffed tubes would cause damage to the subglottic region. The correct size uncuffed tube creates a seal in the subglottis that has minimal pressure on the mucosa. However, cuffed tubes have become more widely used in children recently without causing damage to the mucosa. There is very little literature comparing the magnitude of the gas leaks with cuffed and uncuffed tracheal tubes particularly in children. Several authors suggest that the leak of nitrous oxide and sevoflurane...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. American society of anesthesiologists physical status 1 and 2;
• • 2. fasted
• • 3. scheduled for elective adenotonsillectomy
• Exclusion Criteria:
• • 1. refusal of consent by parents
• • 2. difficult tracheal intubation
• • 3. craniofacial anomalies
• • 4. gastroesophageal reflux
• • 5. malignant hyperthermia
• • 6. randomization to a tracheal tube is unacceptable.