The Effect of Cuffed Endotracheal Tube on Respiratory Complication Following Adenotonsillectomy in Children

• Main Authors: Masoud Kaviani, Behzad Maghsoudi, Shojaolhagh Tariq, Seyed Basir Hashemi
• Format: Article
• Language: English
• Published: Iran University of Medical Sciences 2010-11-01
• Series: Medical Journal of The Islamic Republic of Iran
• Subjects: Adenotonsillectomy; Tracheal Intubation; Cough; Hypoxemia; Stridor; Ndotracheal Tube; Cuff; Postoperative
• Online Access: http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-119&slc_lang=en&sid=1
• ISSN: 1016-1430; 2251-6840

Background:Uncuffed endotracheal tube(ETT) were considered for children less than 8 years.Meanwhile, aspiration around ETT in patients undergoing adenotonsillectomy is concerned.We compared cuffed versus uncuffed ETT regarding respiratory complications following adenotonsillectomy.  Methods: 128 children aged 2-8 yr were divided to two groups of 64 each. Uncuffed and cuffed tubes were used respectively in the uncuffed (UG) and cuffed (CG) groups. Anesthesia was routinely performed in a identical pattern in all patients. The number of attempts to reach the appropriate tube size was recorded. After extubation,the patients observed for the occurrence of cough, hypoxemia, and stridor.  Results: Less reintubation attempts were needed in the CG (p.value=0.002).In the UG, 31.3% and in the CG 10.9% had some respiratory complications (P.value=0.009).The change of the initial tube had significant effect on the occurrence of croup and stridor (P.value= 0.000).Conclusion:The use of cuffed tube in 2-8 yr, could lower the incidence of respiratory  complications following adenotonsillectomy.It also decreases the number of intubation attempts needed to reach the appropriate tube size.