O uso de tubos endotraqueais com cuff na população pediátrica brasileira.

Abstract

Objective: This study aimed to identify and to evaluate the practical using of cuffed endotracheal tubes on Neonatal (NICU), Pediatric (PICU) and Mixed Pediatric (mPICU) Intensive Care Units of Brazil. Methods: In order to identify the ICU in Brazil, the National Registry of Health Facilities (CNES) of the Ministry of Health of Brazil was accessed and information was obtained from 693 registered ICU. A cross-sectional survey was performed by sending a questionnaire to 298 NICU, PICU and mPICU in Brazil. Results: This study analyzed 146 questionnaires (49,3% NICU, 35,6% PICU and 15,1% mPICU). Most of the participating units (78/146) used cuffed endotracheal tubes with a predominance of the PICU (52/78). The use of cuff pressure monitoring protocols was seen in more than half of the units that used cuffed endotracheal tubes (45/78). Also, the use of cuff pressure monitoring protocols was observed in ICU with exclusive physiotherapy service (38/61) and in the units with physiotherapy service 24 hours a day (25/45). The most common extubation failure cause related to the use of cuffed endotracheal tubes in PICU was the upper airway obstruction. Conclusion: In this survey, there was a high prevalence of cuffed endotracheal tubes use and cuff pressure monitoring protocols application in PICU. The use of the monitoring protocol was most frequent in the ICU with exclusive physiotherapy service and with physiotherapy service 24 hours a day.