Endotracheal Tube Intubation and Airway Injury

Monday, September 30, 2024

1:00 PM – 2:00 PM EDT

Location: MBCC, 224

CME/MOC Credit: 1

Disclosure(s):

Laura Matrka, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Benjamin C. Tweel, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: Endotracheal tubes (ETTs) for mechanical ventilation are ubiquitous, with size typically selected to match the expected airway diameter and ventilation requirements of the patient. There is evidence to suggest that the use of larger ETT’s are associated with increased airway injury ranging from post operative sore throat (POST) to laryngotracheal stenosis (LTS). Unfortunately current clinical practice regarding ETT selection in adults are not universally standardized, but some physicians use sex, height and BMI as a factor. This has resulted in considerable variability used by different providers and institutions for intubations. In this session, we will present the impact of using inappropriately sized ETT’s in terms of potential complications and outcomes. We will also present on how to address these sequelae and most importantly implement system wide change on how to avoid the use of inappropriately sized ETT’s.

Learning Objectives:

Understand which size ETT to use and the impact of inappropriately sized ETT’s on the airway.
Manage the sequela of airway injury as the result of intubation with large ETT’s.
Create system wide change to avoid the use of inappropriately sized ETT’s.

Moderator(s)

MC

Mark S. Courey, MD

Director, Division of Laryngology
Icahn School of Medicine at Mount Sinai
New York, New York, United States

Disclosure information not submitted.

Panelist(s)

MC

Mark S. Courey, MD

Director, Division of Laryngology
Icahn School of Medicine at Mount Sinai
New York, New York, United States

Disclosure information not submitted.
LM

Laura Matrka, MD

Professor, Department of Otolaryngology - Head and Neck Surgery
The Ohio State University
Columbus, OH, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
Benjamin C. Tweel, MD

Assistant Professor
Mount Sinai School of Medicine
Brooklyn, NY, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.