2024 Volume 28 Issue 1 Pages 69-75
【Objective】To retrospectively investigate the effects of cuffed and uncuffed endotracheal tubes (ETTs) on ETT exchanges in the pediatric intensive care unit (PICU) following a pediatric cardiac surgery.
【Methods】Our study included pediatric patients, aged 6 years or younger, who underwent cardiac surgeries at our hospital between January 2013 and July 2019. We extracted data on ETT exchange rates and postextubation adrenaline inhalation rates in the PICU from electronic medical records and compared the results between the cuffed tracheal tube (Microcuff PET®) group (M group) and uncuffed tracheal tube group (U group). The primary endpoint was the ETT exchange rate, and the secondary endpoint was the postextubation adrenaline inhalation rate in the PICU between the M and U groups.
【Results】No significant differences in the ETT exchange rate (2/40[5.0%] vs. 8/145[5.5%], P=1.000) and postextubation adrenaline inhalation rate (75.0% vs. 67.5%, P=0.442) were observed between the M and U groups.
【Conclusion】Our findings indicated that the use of Microcuff PET® did not significantly reduce ETT exchange rates in the PICU following a pediatric cardiac surgery. Further studies are required to demonstrate the usefulness of Microcuff PET® in enhancing ETT exchanges in the PICU.
