In the recent two decades, several articles revealing the lower incidence of postextubation stridor with cuffed tubes have been published. The superior safety has never been proven by high-quality evidence-based medicine (EBM) however, for a long time, it remained the unquestionable rule of pediatric airway management. Therefore, in an ideal situation, uncuffed tubes should be a safer alternative to cuffed tubes, predominantly used in older children and adults. The main aim was to obtain a proper seal of the airways in the narrowest part-the subglottic area-without direct pressure on the airway mucosa to minimize possible mucosal damage, which could lead to consequent edema formation and postextubation stridor or even laryngeal damage. ![]() ![]() Based on historical anatomical studies of the pediatric larynx, uncuffed tubes were preferred in pediatric patients under 8 years.
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