Dr Simon Brown wrote <snip>
>Oral tubes in kids seem to be subject to a fair bit of movement, however
>well they are secured. Presumably this is related to excessive head
>movements (big occiput) and the big curl of tube in the mouth. I have found
>nasal tubes to be subject to less movement, but perhaps this is mainly due
>to the relative ease of securing at the nares, compared to the lips.
The potential for migration of the endotracheal tube from the preferred
location is increased by the relatively short distance between the vocal folds
and the human end of the ET tube. A casual glance at the short distance
marker lines for intended location of the vocal folds and the tip of the ET
prove convincing for most observers.
Thomas E. Terndrup, MD, FACEP
e-mail: [log in to unmask]
Director, Pediatric Emergency Medicine
SUNY Health Science Center at Syracuse