Description
The MICROCUFF Paediatric Endotracheal Tube by Avanos is a specialized medical device designed for precise airway management in pediatric patients. Its innovative design features a micro-thin, high-volume, low-pressure polyurethane cuff, providing optimal sealing at ultra-low pressures. This ensures effective ventilation and reduces the risk of pulmonary aspiration, making it ideal for use during general anesthesia, including in laparoscopic surgeries.
Key Features
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Cuff Design: The ultra-thin cuff membrane adapts to various pediatric airway sizes and shapes, minimizing mucosal injury and airway trauma. It achieves effective sealing at pressures typically below 20 cm H₂O, with a mean sealing pressure around 11 cm H₂O.
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Construction: Made from PVC, the tube is latex-free, sterile, and intended for single use. It is available in Magill (oral/nasal) and Oral Curved (RAE) types, with a radiopaque line for imaging visibility and precise depth markings for accurate placement.
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Sizing: Internal diameters range from 3.0 mm to 7.0 mm, suitable for term infants weighing ≥3 kg up to children aged 16 years. The tube is not recommended for children with abnormal tracheal anatomy.
Clinical Performance
The MICROCUFF tube provides a reliable airway seal, reducing the need for tube exchanges and improving respiratory monitoring. Clinical studies, including large multicenter trials, have demonstrated its safety and efficacy, showing low rates of post-intubation stridor and airway morbidity when used with appropriate sizing and cuff pressure monitoring.
Usage Guidelines
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Preparation: Before use, the tube should be removed from sterile packaging, and the cuff, pilot balloon, and valve should be tested by inflation. Aseptic technique is crucial throughout handling.
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Cuff Management: Cuff pressure should be continuously monitored and should not exceed 20 cm H₂O. The cuff should be inflated only to the minimal effective sealing pressure, and deflated before extubation.
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Single Use: The tube is designed for single use and should be discarded after extubation.
Available Sizes
The tube is available in sizes ranging from 3.0 mm to 7.0 mm ID for Magill type and 3.0 mm to 6.5 mm ID for Oral Curved type, with each size supplied in boxes of 10 tubes.
Material
Constructed from polyvinyl chloride (PVC) with an ultra-thin polyurethane cuff, the tube is entirely latex-free, ensuring compatibility with a wide range of patients.
This comprehensive design and performance make the MICROCUFF Paediatric Endotracheal Tube a trusted choice for healthcare professionals in managing pediatric airways effectively and safely.