Cuffed or uncuffed tubes?

The debate over uncuffed versus cuffed endotracheal tubes (ETTs) is a long-standing one. In a paper published in Pediatric Anesthesia this week, one paediatric critical care unit has published the results of their experience of introducing cuffed ETTs. Greaney D, Russell J, Dawkins I, Healy M, A retrospective observational study of acquired subglottic stenosis using…

Crash course in tracheostomies

It’s 2am and the crash bleep goes off. You arrive at the bedside of 5 year old Jerry who has suddenly dropped his sats to 80%. He looks like he has a tracheostomy tube in his neck. Can you keep your cool and handle it like a pro? Cite this article as: Davis, T. Crash…

Cotton buds

Every now and then an article comes along that reminds me that some of the old wives tales are true. This is one of them… Cite this article as: Tagg, A. Cotton buds, Don't Forget the Bubbles, 2017. Available at: http://doi.org/10.31440/DFTB.11951

Ears looking at you, kid

Earache is a leading cause of grumpiness in children.  A recent paper in the New England Journal of Medicine has suggested that a 10 day course of antibiotics is more effective than a 5 day course in treating acute otitis media and, as such, should be considered in infants under 2 years with otitis media. But…

Can’t intubate, Can’t Oxygenate

Paediatric critical procedures are rare in the emergency department. Data from one Victorian network showed that 83% of emergency physicians had not performed one in a twelve month period. We also know from audit data that we seem to have a lower first pass success rate (around 78%) when it comes to paediatric intubation. We…

ENT Part 2: who nose?

Here is the second part in our three part ENT series looking at recognition and management of common paediatric ENT conditions.This series is based on a presentation by Rahul Santram, adapted by Tessa Davis, and checked by our resident ENT surgeon, Sinéad Davis. Part 1 was on – the ear. Today, we look at the nose. Part…

ENT Part 1: a word in your ear

Here is the first part in our three part ENT series looking at recognition and management of common paediatric ENT conditions.This series is based on a presentation by Rahul Santram , adapted by Tessa Davis, and checked by our resident ENT surgeon, Sinéad Davis. Today, we start with the ear. Part 2 is on – the nose….

How can we rule out epiglottitis?

A 2 year old boy is brought to the emergency department at 2:30 a.m. complaining of throat pain, not drinking, drooling, difficulty swallowing, coughing, nasal congestion, and fever. Cite this article as: Yamamoto, L. How can we rule out epiglottitis?, Don't Forget the Bubbles, 2014. Available at: https://dontforgetthebubbles.com/rule-out-epiglottitis/

Cochlear Implants

This week’s recommendation is a podcast by our lovely #foamped colleagues at ENT Expert Opinion. Cite this article as: Davis, T. Cochlear Implants, Don't Forget the Bubbles, 2014. Available at: https://dontforgetthebubbles.com/podcast-week-cochlear-implants/

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