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Overview

Compared to adult anatomy, children have a floppier epiglottis and vocal cords that slant upward. They also have a funnel-shaped larynx, which can be difficult to navigate around, especially due to the narrowing of the cricoid cartilage.1

Those factors make using scaled-down versions of adult endotracheal tubes (ETTs) on children risky because doing so can result in airway damage, oxygen deprivation, and ventilation complications.1,2

Help better secure paediatric airways

The Shiley™ paediatric oral/nasal endotracheal tube (ETT) with TaperGuard™ cuff technology is designed with a number of features that are intended to meet the needs and improve the margin of safety for your smaller patients.3*

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Shorter†, inverted TaperGuard™ cuff 

Compared to traditional barrel-shaped cuffs, the thinwalled, taper-shaped, low-volume, low-pressure (LVLP) TaperGuard™ cuff:6,7 

  • Uses less material, which helps ease insertion past the vocal cords
  • Requires less volume to fill the cuff 
  • Improves sealing
  • Decreases aspirations
  • Reduces cuff pressure on tracheal tissues
  • Helps ease insertion past the cricoid due to the shorter cuff-to-tip distance

No Murphy Eye

The Murphy eye presents a challenge for cuff placement on smaller ETTs. Removing the Murphy eye on a cuffed paediatric oral/nasal ETT improves the margin of safety by:⁸ 

  • Allowing the TaperGuard™ cuff to be located closer to the tube tip†, to help ensure the cuff is reliably placed within the trachea
  • Preventing the cuff from pressuring the laryngeal wall
  • Reducing the risk of endobronchial intubation9

Features and benefits

  • Clinically-appropriate tube length - Based on patient size, to help avoid unintentional endobronchial intubation³ 
  • A standard 15 mm connector - For connection to respiratory and anaesthesia equipment
  • Wide range of size options - Cuffless from 2.0 mm to 6.0 mm; cuffed from 2.5 mm to 6.0 mm
  • Radiopaque filament - Visible on x-ray, embedded within and throughout the length of the tube wall 
  • Depth marks in centimeter increments - Anatomically based markings to help place the ETT more accurately3,4,5
  • Magill curve - To support easier tube insertion
  • Glottic print marks - To help determine optimal placement of the cuff below the vocal cords and above the carina*
  • DEHP-free - Made with latex-free, non-DEHP PVC material 

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How to Order

For additional information or to place an order, call Customer Service at +44 (0) 19 2320 2504.

Shiley™ paediatric oral/nasal endotracheal tube with TaperGuard™ cuff
CFN I.D. (mm)  O.D. (mm)  Length (mm)  Cuff Ø (mm) 
86125 2.5 3.8 140 8.0
86130 3.0 4.4 160 9.1
86135 3.5 5.0 180 10.1
86140 4.0 5.7 200 11.5
86145 4.5 6.3 220 12.3
86150 5.0 6.9 240 14.2
86155 5.5 7.5 270 15.6
86160 6.0 8.2 280 17.2
Shiley™ pediatric oral/nasal endotracheal tube, cuffless
CFN I.D. (mm)  O.D. (mm) Length (mm) 
86232 2.0 2.9 130
86233 2.5 3.6 140
86234 3.0 4.2 160
86235 3.5 4.9 180
86236 4.0 5.5 200
86237 4.5 6.2 220
86238 5.0 6.8 240
86239 5.5 7.5 270
86240 6.5 8.2 280

 

Order Information

Shiley™ paediatric endotracheal tube solutions

Discover the features and specifications that make Shiley™ paediatric ETT cuffed and cuffless solutions uniquely tailored for your smallest patients.

View brochure

Kids are not little adults. That’s why they need endotracheal tube solutions customized to their unique anatomy. 

If you are interested in a demo, please click on contact us to complete the form and we will contact you as soon as possible. 
  • * Internal document, Design Concept Document Falcon II
  • † Compared to the adult version.
  • 1. J. Holzki, K Brown, R. Carroll, C. Cote. The anatomy of the pediatric airway: Has our knowledge changed in 120 years? A review of historic and recent investigations of the anatomy of the pediatric larynx. Pediatric Anesthesia. 2017 (28): 13-22. 
  • 2. Seyeon P. et al, Choice of the correct size of endotracheal tube in pediatric patients Anesth 2022 Oct 31; 17(4): 352–360. Published online 2022 doi: 10.17085/apm.22215 https://www.ncbi.nlm.nih. gov/pmc/articles/PMC9663958/ 
  • 3. Aker J. An Emerging clinical paradigm: the cuffed pediatric endotracheal tube. AANA Journal. 2008;76(4):293−300.
  • 4. Weiss M, Gerber AC, Dullenkopf A. Appropriate placement of intubation depth marks in a new cuffed paediatric tracheal tube. Br J Anaesth. 2005;94(1):80−87. 8. 
  • 5. Bhardwaj N. Pediatric cuffed endotracheal tubes. J of Anaesthesiol Clin Pharmacol. 2013; 29(1):13−18
  • 6. Lichtenthal PR, Wood L, Wong A, Borg U. Pressure applied to tracheal wall by barrel and taper shaped cuffs. Proc Am Soc Anesth Annual Meeting. 2011: A1054.
  • 7. Lichtenthal PR, Maul D, Borg U. Do tracheal tubes prevent microaspiration? Br J Anaesth. 2011;107(5):821−822. 
  • 8. Ho AM, Aun CS, Karmakar MK. The margin of safety associated with the use of cuffed pediatric tracheal tubes. Anesthesia. 2002;57(2):173−175.
  • 9. M. Weiss et al, Tracheal tube-tip displacement in children during head-neck movement—a radiological assessment British Journal of Anaesthesia 96 (4): 486–91 (2006)
  • 10. Nutter J, Oppong E, and Pouliot C. Cuffed pediatric endotracheal tubes. Honors Theses. 2019. 2335. https://digitalworks.union.edu/theses/2336
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