Cuffed vs Uncuffed ETTs - Revision history

WikiSysop at 14:27, 6 November 2025

2025-11-06T14:27:26Z

← Older revision		Revision as of 14:27, 6 November 2025
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	[https://pubmed.ncbi.nlm.nih.gov/40913357/ Regulation of Intracuff Pressure by Measurement of the Ratio of Expiratory to Inspiratory Tidal Volumes]		[https://pubmed.ncbi.nlm.nih.gov/40913357/ Regulation of Intracuff Pressure by Measurement of the Ratio of Expiratory to Inspiratory Tidal Volumes]

			Wratney AT, Benjamin DK, Jr., Slonim AD, He J, Hamel DS, Cheifetz IM: The endotracheal tube air leak test does not predict extubation outcome in critically ill pediatric patients. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2008, 9(5):490–496.

			Kanno K, Fujiwara N, Moromizato T, Fujii S, Ami Y, Tokushige A, Ueda S: Pre-Extubation Cuffed Tube Leak Test and Subsequent Post-Extubation Laryngeal Edema: Prospective, Single-Center Evaluation of PICU Patients. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2023.

			Schwartz RE, Stayer SA, Pasquariello CA: Tracheal tube leak test--is there inter-observer agreement? Canadian journal of anaesthesia = Journal canadien d’anesthesie 1993, 40(11):1049–1052.

			Seegobin RD, van Hasselt GL: Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs. BrMedJ(ClinResEd) 1984, 288(6422):965–968.

			Kumar CM, Seet E, Van Zundert T: Measuring endotracheal tube intracuff pressure: no room for complacency. Journal of clinical monitoring and computing 2021, 35(1):3–10.

			Moon K, Kitio SAY, Rice-Weimer J, Tobias JD: Regulation of Intracuff Pressure by Measurement of the Ratio of Expiratory to Inspiratory Tidal Volumes. Paediatric anaesthesia 2025, 35(11):940–945.

WikiSysop at 15:17, 4 November 2025

2025-11-04T15:17:55Z

← Older revision		Revision as of 15:17, 4 November 2025
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	[https://pubmed.ncbi.nlm.nih.gov/11791682/ Optimal tracheal tube cuff inflation in infants: implications for mechanical ventilation and respiratory mechanics]		[https://pubmed.ncbi.nlm.nih.gov/11791682/ Optimal tracheal tube cuff inflation in infants: implications for mechanical ventilation and respiratory mechanics]

			[https://pubmed.ncbi.nlm.nih.gov/40913357/ Regulation of Intracuff Pressure by Measurement of the Ratio of Expiratory to Inspiratory Tidal Volumes]

WikiSysop at 21:44, 7 October 2025

2025-10-07T21:44:24Z

← Older revision		Revision as of 21:44, 7 October 2025
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	9. Weiss M, Dave M, Bailey M, Gysin C, Hoeve A, Hammer J, Nicolai T, Spielmann N, Gerber A. Endoscopic airway findings in children with or without prior endotracheal intubation. Paediatr Anaesth 2013 ; 23 (1) : 103-100. doi : 10.1111/pan.12102, PMID: 23289772.		9. Weiss M, Dave M, Bailey M, Gysin C, Hoeve A, Hammer J, Nicolai T, Spielmann N, Gerber A. Endoscopic airway findings in children with or without prior endotracheal intubation. Paediatr Anaesth 2013 ; 23 (1) : 103-100. doi : 10.1111/pan.12102, PMID: 23289772.

			[https://pubmed.ncbi.nlm.nih.gov/11791682/ Optimal tracheal tube cuff inflation in infants: implications for mechanical ventilation and respiratory mechanics]

WikiSysop at 16:40, 10 February 2025

2025-02-10T16:40:52Z

← Older revision		Revision as of 16:40, 10 February 2025
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	[https://pubmed.ncbi.nlm.nih.gov/35833854/ Association between cuffed tracheal tube use and reduced ventilator-associated pneumonia and conditions after elective cardiac surgery in infants and young children]		[https://pubmed.ncbi.nlm.nih.gov/35833854/ Association between cuffed tracheal tube use and reduced ventilator-associated pneumonia and conditions after elective cardiac surgery in infants and young children]

			Holzki J, Hoeve H, Tan H, Coté CJ, Rothschild M, Ponde V, Ustalar Ozgen ZS, Yamashita M. Unveiling myths of the paediatric larynx: a comprehensive review of anatomical publications and modern insights on cuffed endotracheal tubes. Malaysian Journal of Anaesthesiology 2024; 2:137-156 doi.org/10.35119/myja.v3i2.81.

			2. Fayoux P, Devisme L, Merrot O, Marciniak B. Determination of endotracheal tube size in a perinatal population: an anatomical and experimental study. Anesthesiology 2006;104(5):954-960. doi: 10.1097/00000542-200605000-0001, PMID: 16645447.

			3. Isa M, Holzki J, Hagemeier A, Rothschild MA, Coté CJ. Anatomical In vitro investigations of the pediatric larynx: a call for manufacturer redesign of tracheal tube cuff location and perhaps a call to reconsider the use of uncuffed tracheal tubes. Anesth Analg 2021;133(4):894-902. doi : 10.1213/ane.0000000000005565, PMID: 33901057.

			4. Maguire S, Wade D, Curley J, Morris S. Design considerations for development of cuffed endotracheal tube for small airways. Paediatr Anaesth. 2025 Feb;35(2):91-98. doi: 10.1111/pan.15033. Epub 2024 Nov 19. PMID: 39560156. Note: sponsored by Medtronics®

			5. Eckenhoff JE. Some anatomic considerations of the infant larynx influencing endotracheal anesthesia. Anesthesiology 1951;12(4):401-410. doi: 10.1097/00000542-195107000-00001, PMID: 14847223.

			6. de Wit M, Peelen LM, van Wolfswinkel L, de Graaff JC. The incidence of postoperative respiratory complications : a retrospective analysis of cuffed vs uncuffed tracheal tubes in children 0-7 years of age. Paediatr Anaesth 2018 ; 28 (1): 210-217. doi : 10.1111/pan.13340, PMID: 29436138.

			7. Greaney D, Russell J, Dawkins I, Healy M. A retrospective observational study of acquired subglottic stenosis using low-pressure, high-volume cuffed endotracheal tubes. Paediatr Anaesth 2018;28(12):1136-1141. doi : 10.1111/pan.13519, PMID: 30375105.

			8. Kayashima K, Mizuyama H, Takesue M, Doi T, Imai K, Murashima K. Adjusting pediatric endotracheal tube depths relative to the cricoid by using longitudinal ultrasound images of the saline-inflated cuff in the trachea : two case reports. A&A Case Reports 2018 ; 10(9):235-238. doi: 10.1213/XAA.0000000000000673, PMID: 29708918.

			9. Weiss M, Dave M, Bailey M, Gysin C, Hoeve A, Hammer J, Nicolai T, Spielmann N, Gerber A. Endoscopic airway findings in children with or without prior endotracheal intubation. Paediatr Anaesth 2013 ; 23 (1) : 103-100. doi : 10.1111/pan.12102, PMID: 23289772.

WikiSysop at 21:51, 15 January 2025

2025-01-15T21:51:06Z

← Older revision		Revision as of 21:51, 15 January 2025
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	The formula for cuffed tubes used in the Khine et al paper:		The formula for cuffed tubes used in the Khine et al paper:

	Cuffed tube size (mm ID) = (age/4 + 3) rounding upward when needed.		<i>Cuffed tube size (mm ID) = (age/4 + 3) rounding upward when needed.</i>

	A further argument in favor of cuffed tubes was the introduction of the microcuff tube. Its short, compliant cuff was a breakthrough for cuffed tubes in neonates and small infants. (Weiss M, Gerber AC, Dullenkopf A. Appropriate placement of intubation depth marks in a new cuffed paediatric tracheal tube. Br J Anaesth 2005;94:80-87. PMID 15486002)		A further argument in favor of cuffed tubes was the introduction of the microcuff tube. Its short, compliant cuff was a breakthrough for cuffed tubes in neonates and small infants. (Weiss M, Gerber AC, Dullenkopf A. Appropriate placement of intubation depth marks in a new cuffed paediatric tracheal tube. Br J Anaesth 2005;94:80-87. PMID 15486002)

WikiSysop at 16:08, 15 September 2022

2022-09-15T16:08:27Z

← Older revision		Revision as of 16:08, 15 September 2022
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	[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314458/ Use of 2.0-mm endotracheal tubes for periviable infants]		[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314458/ Use of 2.0-mm endotracheal tubes for periviable infants]

	~~H H Khine, D H Corddry, R G Kettrick, T M Martin, J J McCloskey, J B Rose, M C Theroux, M Zagnoev~~. Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia~~. Anesthesiology 1997 Mar;86(3):627-31; PMID: 9066329~~		[https://pubmed.ncbi.nlm.nih.gov/9066329/ Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia]

	Ron Litman, of blessed memory, thought it would be a good idea to present a “classic” article once a week or so as the PAAD. It doesn’t get any more classic than this! Thanks to Diane Gordon MD for asking for this one.		Ron Litman, of blessed memory, thought it would be a good idea to present a “classic” article once a week or so as the PAAD. It doesn’t get any more classic than this! Thanks to Diane Gordon MD for asking for this one.

WikiSysop at 16:07, 15 September 2022

2022-09-15T16:07:04Z

← Older revision		Revision as of 16:07, 15 September 2022
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	{{Stub Notice}}		{{Stub Notice}}

			[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314458/ Use of 2.0-mm endotracheal tubes for periviable infants]

	H H Khine, D H Corddry, R G Kettrick, T M Martin, J J McCloskey, J B Rose, M C Theroux, M Zagnoev. Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia. Anesthesiology 1997 Mar;86(3):627-31; PMID: 9066329		H H Khine, D H Corddry, R G Kettrick, T M Martin, J J McCloskey, J B Rose, M C Theroux, M Zagnoev. Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia. Anesthesiology 1997 Mar;86(3):627-31; PMID: 9066329

WikiSysop at 15:05, 2 August 2022

2022-08-02T15:05:50Z

← Older revision		Revision as of 15:05, 2 August 2022
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	[https://pubmed.ncbi.nlm.nih.gov/35633947/ Incidence of Post-extubation Stridor in Infants With Cuffed vs. Uncuffed Endotracheal Tube: A Retrospective Cohort Analysis]		[https://pubmed.ncbi.nlm.nih.gov/35633947/ Incidence of Post-extubation Stridor in Infants With Cuffed vs. Uncuffed Endotracheal Tube: A Retrospective Cohort Analysis]

			[https://pubmed.ncbi.nlm.nih.gov/35833854/ Association between cuffed tracheal tube use and reduced ventilator-associated pneumonia and conditions after elective cardiac surgery in infants and young children]

WikiSysop at 17:25, 12 June 2022

2022-06-12T17:25:05Z

← Older revision		Revision as of 17:25, 12 June 2022
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	[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15493 The effect of saline versus air for cuff inflation on the incidence of high intra-cuff pressure in paediatric MicroCuff® tracheal tubes: a randomised controlled trial]		[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15493 The effect of saline versus air for cuff inflation on the incidence of high intra-cuff pressure in paediatric MicroCuff® tracheal tubes: a randomised controlled trial]

			[https://pubmed.ncbi.nlm.nih.gov/35633947/ Incidence of Post-extubation Stridor in Infants With Cuffed vs. Uncuffed Endotracheal Tube: A Retrospective Cohort Analysis]

WikiSysop at 20:47, 30 October 2021

2021-10-30T20:47:00Z

← Older revision		Revision as of 20:47, 30 October 2021
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	Myron Yaster MD and Robert Friesen MD		Myron Yaster MD and Robert Friesen MD


			[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15493 The effect of saline versus air for cuff inflation on the incidence of high intra-cuff pressure in paediatric MicroCuff® tracheal tubes: a randomised controlled trial]