COMPARATIVE STUDY OF MICROCUFF ENDOTRACHEAL TUBE AND UNCUFFED ENDOTRACHEAL TUBE IN PEDIATRIC ABDOMINAL SURGERIES.

DR. PRAVIN RAMESHRAO KUTEMATE; DR. MAYA JAMKAR; DR. PRADNYA BHALERAO

Volume : IX, Issue : I, January - 2019

COMPARATIVE STUDY OF MICROCUFF ENDOTRACHEAL TUBE AND UNCUFFED ENDOTRACHEAL TUBE IN PEDIATRIC ABDOMINAL SURGERIES.

Dr. Pravin Rameshrao Kutemate, Dr. Maya Jamkar, Dr. Pradnya Bhalerao

Abstract :

INTRODUCTION AND AIMS: Since last 60 years pediatric anesthetists have used uncuffed tubes in infants and have lived with the handicaps of uncuffed tubes. The tradition to use uncuffed tubes in pediatrics patients and the condemnation of the cuff are not very logical and should be reconsidered in view of new scientific evidence and developments. In the last few years it has been shown that microcuff tubes can safely be used in pediatric age group and that there is no need to forego the benefits of a sealed airway. METHOD’S– 60 children of ASA physical status I or II scheduled for elective surgery were randomly allocated into 2 groups. Group A were intubated with microcuff endotracheal tube. Group B were intubated with uncuff endotracheal tube. In our present study we compare tube exchange rate, capnography, post–extubation stridor in both microcuff and uncuffed endotracheal tubes. Also we monitored intracuff pressure in microcuff tubes. RESULTS – Tube exchanges were significantly lower in Microcuff endotracheal tube than uncuffed endotracheal tube. Plateau–type capnography was noted in patients with Microcuff endotracheal tubes and post extubation stridor was significantly lower in Microcuff endotracheal tube than uncuffed endotracheal tube. CONCLUSION– Microcuff endotracheal tubes are desirable and safe to use in the pediatric patients population, provided they are used appropriately, with care and attention given to proper sizing and assessment of cuff pressures.