Help better secure pediatric airways

Kids are not little adults. That’s why they need endotracheal tube (ETT) solutions customized to their unique anatomy. Using scaled down versions of adult ETTs on children can result in negative outcomes, such as airway damage, oxygen deprivation, and ventilation complications.1,2

The Shiley™ pediatric oral/nasal ETT with TaperGuard™ cuff is designed with several features that are intended to meet the needs and improve the margin of safety for your smaller patients.

The Shiley™ pediatric oral/nasal ETT with TaperGuard™ cuff is available in a wide range of size options — from 2.5 mm to 6.0 mm. It is made with latex-free, non-DEHP PCV material, which softens at body temperature and molds to the airway.

ETTs with low-pressure cuffs have similarly low rates of post-extubation complications compared to uncuffed tubes.3


No Murphy Eye

The Murphy eye presents a challenge for cuff placement on smaller ETTs. Removing the Murphy eye on the Shiley™ pediatric ETT with TaperGuard™ cuff improves the margin of safety by2,4:

  • 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 intubation

A shorter, inverted TaperGuard™ cuff

Compared to traditional barrel-shaped cuffs, the shorter TaperGuard™ cuff on the Shiley™ pediatric ETT helps support cuff placement in the trachea and improves sealing. This low-volume, low-pressure, taper-shaped cuff5,6:

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

TaperGuard™ cuff technology, featured on Shiley™ endotracheal tubes, is designed to maximize comfort and safety for patients.

Additional features include:

  • Clinically-appropriate tube lengths — based on patient size, to help avoid unintentional endobronchial intubation7
  • A hooded tip — on sizes 2.5 mm and 3.0 mm, to provide additional protection in the smallest airways. The rounded, beveled shape of the hooded tip can help make it easier for the tube to pass through the vocal cords, which can decrease trauma during intubation.8
  • 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 accurately7,9
  • Glottic print marks — to help determine optimal placement of the cuff below the vocal cords and above the carina
  • Magill curve — to support easier tube insertion
  • A standard 15 mm connector — for connection to respiratory and anesthesia equipment
Order Information
Order code description I.D. (mm) O.D. (mm) Length (mm) Cuff (mm) Unit of measure Quantity
86125 Shiley™ pediatric ETT with TaperGuard™ cuff, 2.5 mm I.D. 2.5 3.8 140 8.0 Box 10
86130 Shiley™ pediatric ETT with TaperGuard™ cuff, 3.0 mm I.D. 3.0 4.4 160 9.1 Box 10
86135 Shiley™ pediatric ETT with TaperGuard™ cuff, 3.5 mm I.D. 3.5 5.0 180 10.1 Box 10
86140 Shiley™ pediatric ETT with TaperGuard™ cuff, 4.0 mm I.D. 4.0 5.7 200 11.5 Box 10
86145 Shiley™ pediatric ETT with TaperGuard™ cuff, 4.5 mm I.D. 4.5 6.3 220 12.3 Box 10
86150 Shiley™ pediatric ETT with TaperGuard™ cuff, 5.0 mm I.D. 5.0 6.9 240 14.2 Box 10
86155 Shiley™ pediatric ETT with TaperGuard™ cuff, 5.5 mm I.D. 5.5 7.5 270 15.6 Box 10
86160 Shiley™ pediatric ETT with TaperGuard™ cuff, 6.0 mm I.D. 6.0 8.2 280 17.2 Box

Order Information

  • †Compared to the adult version.

  • ‡As indicated by ISO 5361:2016.

  • 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. 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.

  • 3. Bhardwaj N. Pediatric cuffed endotracheal tubes. J of Anaesthesiol Clin Pharmacol. 2013; 29(1):13–18.

  • 4. Weiss M, Knirsch W, Kretschmar O, et al. Tracheal tube-tip displacement in children during head-neck movement — a radiological assessment. Br J Anaesth. 2006;96(4):486–491.

  • 5. Lichtenthal PR, Wood L, Wong A, Borg U. Pressure applied to tracheal wall by barrel and taper shaped cuffs. Proc American Society of Anesthesiologists Annual Meeting. 2011:A1054.

  • 6. Lichtenthal PR, Maul D, Borg U. Do tracheal tubes prevent microaspiration? Br J Anaesth. 2011;107(5):821–822.

  • 7. Aker J. An emerging clinical paradigm: the cuffed pediatric endotracheal tube. AANA Journal. 2008;76(4):293–300.

  • 8. Haas CF, Eakin RM, Konkle MA, Blank R. Endotracheal tubes: old and new. Respir Care. 2014;59(6):933–955.

  • 9. 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.

  • The Shiley™ endotracheal tube is indicated for oral and/or nasal intubation of the trachea for anesthesia and for general airway management. The endotracheal tube is a sterile, single patient-use medical device not intended to be reprocessed (cleaned, disinfected/sterilized) and used on another patient. Expert clinical judgement should be exercised in the selection of the appropriate type and size endotracheal tube for each individual patient. Please refer to the product manual for detailed usage and troubleshooting instructions. For further information, please contact your Medtronic representative or view the product manual at manuals.medtronic.com.