Thomas Rebecca, Rao Shripada, Minutillo Corrado
Neonatal Clinical Care Unit, Princess Margaret Hospital for Children, Perth, Western Australia, Australia Centre for Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
Neonatal Clinical Care Unit, Princess Margaret Hospital for Children, Perth, Western Australia, Australia Centre for Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia Neonatal Clinical Care Unit, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia.
Arch Dis Child Fetal Neonatal Ed. 2016 Mar;101(2):F168-74. doi: 10.1136/archdischild-2015-309240. Epub 2015 Oct 12.
Traditionally, uncuffed endotracheal tubes (ETTs) have been used for artificial ventilation of infants and children. More recently, newer designed high-volume low-pressure (HVLP) cuffed ETTs are being used with increasing frequency in infants from birth. Considering that many paediatric anaesthetists and intensivists are already using cuffed ETTs in infants >3 kg from birth, should neonatologists be doing the same? This review examines the reasons behind the traditional use of uncuffed ETTs and the problems associated with their use; newer HVLP cuffed ETTs and what they can potentially offer neonates; and reviews evidence from studies comparing the use of cuffed and uncuffed ETTs in neonates and small infants.
传统上，无套囊气管内插管（ETT）一直用于婴儿和儿童的人工通气。最近，设计更新的高容量低压（HVLP）套囊ETT在出生后的婴儿中使用频率越来越高。鉴于许多儿科麻醉师和重症监护医生已经在对出生时体重>3 kg的婴儿使用套囊ETT，新生儿科医生是否也应该这样做呢？本文综述了传统使用无套囊ETT的背后原因及其使用相关问题；新型HVLP套囊ETT及其可能为新生儿带来的益处；并回顾了比较套囊和无套囊ETT在新生儿和小婴儿中使用情况的研究证据。
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