Paediatric anaesthesia & critical care
An endotracheal tube inserted to the level of the hypopharynx is an easy, safe, and effective technique for ventilation of pediatric patients: A prospective observational study
Authors' conclusion
Hypopharyngeal ETT ventilation performed by CA residents is an effective and safe technique of ventilation in infants and children ≤6 years old with normal airways.
Study context
- Population
- Infants and children aged >1 month and ≤ 6 years undergoing elective surgery under GA with orotracheal intubation
- Participants
- 85 infants
- Outcome
- Successful ventilation (visible chest rise, sustained end-tidal capnography (EtCO2) waveform, stable SpO2, adequate expired tidal volume)
Main finding
As reported in the abstract
Successful ventilation (visible chest rise, ≥8 EtCO2 waveforms, stable SpO2, adequate expired tidal volume)
Clinical anesthesia (CA) residents
96.5%
82 of 85
- Successful ventilation rates did not differ significantly when stratified by CA resident groups
- P = 0.407
Observational data: associations, not effects.
Secondary outcomes
Successful ventilation by CA resident group (subgroup)
- Successful ventilation rates did not differ significantly between CA resident groups
- P = 0.407
Safety
Stomach insufflation
- Stomach insufflation occurred in 3 patients
- 3.5%
Severe hypoxemia (SpO2 < 85%), bradycardia, laryngospasm
- Not observed
Original publication
An endotracheal tube inserted to the level of the hypopharynx is an easy, safe, and effective technique for ventilation of pediatric patients: A prospective observational study. J Clin Anesth. Published 22 August 2026. doi:10.
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