Microcuffed ETT in CDH patients

[LIA GRAVARI]

Hello everyone,

we have started seeing a push from anesthesia towards using microcuffed ETT at delivery

Our CVICU service uses these ETT for their patients and don't have any adverse outcomes but they are only intubated for a short time

Do any of you have experience on this matter?

The literature I find is from anesthesia papers and seems to be favorable but refers to the perioperative period:
http://www3.pedsanesthesia.org/newsletters/2018summer/procon-pro.html

Thank you

Getting with the Times.docx

[rehman_naveed]

Yes our anesthesiologists routinely use cuffed tubes for any procedures not restricted to CDH

We didn’t find any severe adverse events though sometimes mild post extubation stridor, also cultural acceptance in NICU community is an issue.

Naveed

[99nicu.org]

 

[LIA GRAVARI]

Thank you

I realized that my post was not clear

the question should read”do any of you intubate the CDH babies with micro cuffed ETT from the delivery and do you see any adverse outcomes when you have used them for a longer period”

that would imply following the minimal leak guidelines

thank you all so much