Cuffed vs. uncuffed tubes in kids

The debate considering cuffed vs uncuffed tracheal tubes in children continues in some centres. In my view the argument for cuffed tubes in the emergency medicine setting is much stronger.

I found an online presentation by Patrick Ross, MD, on the subject which includes a nice summary of recent literature. I like his take home message:
If they are coming to the ICU, if they may be difficult to ventilate, if I only want to intubate once – I use a cuffed tube

Cuffed vs. Uncuffed ETT

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