Cuffed endotracheal tubes in pediatric intensive care

摘要: We prospectively studied 282 consecutive tracheal intubations (243 patients) in a pediatric intensive care unit during 7-month period to compare cuffed and uncuffed endotracheal tube (ETT) utilization outcome. The incidence of postextubation stridor each ETT group was the major outcome measure after controlling for various patient risk factors. Patients whose ETTs were inserted operating room, who less than 1 year age, or had place 72 hours more likely have insertion an ETT. emergency department 5 years age Those older (mean 8.1 vs 2.5 years) longer 6.1 3.7 days) patients with Of 188 subsequently removal their ETTs, overall 14.9%, no significant difference between two groups even duration intubation, trauma, leak around before extubation, mortality score. Two four required reintubation severe stridor. Long-term follow-up identified 33 (17%) hospital readmission. None these admitted upper airway problem. previously received tracheostomies primary purpose long-term mechanical ventilation unrelated any problem airway. conclude that intubation is not associated increased sequelae.