Document Detail

The margin of safety associated with the use of cuffed paediatric tracheal tubes.
MedLine Citation:
PMID:  11871955     Owner:  NLM     Status:  MEDLINE    
There is increasing interest in the use of cuffed paediatric tracheal tubes, these tubes have a number of advantages and disadvantages. One disadvantage is the decreased margin of safety associated with the use of cuffed tracheal tubes. When using an uncuffed tube, the margin of safety is approximately the length of the trachea, however, for a cuffed tube, this margin is reduced and is the length of the trachea minus the distance between the proximal edge of the cuff and the and the tip of the tube. We have found that, compared with traditional uncuffed tubes, cuffed tubes may be associated with a reduced margin of safety of approximately 50% or more.
A M-H Ho; C S T Aun; M K Karmakar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  57     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-03-01     Completed Date:  2002-03-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  173-5     Citation Subset:  AIM; IM    
Department of Anaesthesia & Intensive Care, Faculty of Medicine, The Chinese University of Hong Kong, and Prince of Wales Hospital, Shatin, NT, Hong Kong.
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MeSH Terms
Age Factors
Child, Preschool
Equipment Design
Equipment Safety
Infant, Newborn
Intubation, Intratracheal / adverse effects*,  instrumentation
Risk Assessment / methods
Trachea / anatomy & histology,  injuries
Comment In:
Anaesthesia. 2002 Sep;57(9):936; author reply 936-7   [PMID:  12190766 ]

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