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Single or Multiple Incident: Multiple
Date: 3/28/2016 12:00:00 AM
Country: Canada
Organization: Alberta Health Services

This alert addresses the patient safety incidents which may occur when improperly sized endotracheal tubes (ETT) with subglottic suction (EVAC-ETT) are used in pediatric patients. The EVAC-ETT has a larger outer diameter as compared to the same size standard cuffed ETT. This has led to inappropriately large tubes being used in pediatrics resulting in post extubation complications and tracheal injury. Specific actions are recommended to prevent similar patient safety incidents.

Additional Details

Device:
Standard cuffed endotracheal tube with 1 port, endotracheal tube with subglottic suction with 2 ports


DO NOT USE Endotracheal tubes with subglottic suction (EVAC-ETT) in pediatrics