TY  - JOUR
TI  - Estimation of Appropriate Endotracheal Tube Size in Pediatric Patients: Use of Epiphyseal Diameter of the Distal Radius and Subglottic Diameter
AB  - Objective: The aim of this study is to test the usefulness of epiphysis of distal radius measurement as a surrogate parameter for endotracheal tube (ETT) size prediction in children. Methods: Seventy-three children were intubated with cuffed ETT selected according to age-based formula. Transvers diameter of epiphysis of distal radius and subglottic diameter of trachea were measured by ultrasound (USG). Correlation between the outer diameter of best-fit endotracheal tube and transvers diameter of both radius epiphysis and subglottic diameter were calculated. The need for tube exchange, time for USG measurements and the ease level of measurements were compared. Results: First attempt success at intubation was 83.6%. The correlation of the epiphysis diameter of the distal radius and best-fit ETT was significant (p<0.001, r=0.619, r2=0.383, 95% CI=0.419- 0.838). Similarly the correlation of subglottic tracheal diameter and best-fit ETT was significant (p<0.001, r=0.744, r2=0.553, 95% CI=0.678-825). Estimated ETT sizes according to radial epiphysis diameter and subglottic diameter were optimal in 82.2% and 94.5% respectively. Time for the USG measurements of radial epiphysis and subglottic area were 38.3±9.6 and 24.9±4.6 seconds respectively (p<0.001). The level of ease of USG measurements were rated for radial epiphysis as 6 (5-9) and for subglottic area as 8 (7-9) (p<0.001). Conclusion: USG measured transverse diameter of distal radius epiphysis resulted in similar suc- cess rate to age-based formula in our child population. Subglottic diameter measured by USG estimates ETT size more accurately; it is also less time consuming and easie
AU  - Altun, Demet
AU  - dincer, müserref beril
AU  - Doruk, Can
AU  - GÜLER, MELTEM MERVE
AU  - altun, dilek
AU  - Çamcı, Emre
DO  - 10.5222/jarss.2021.44366
PY  - 2021
JO  - Anestezi Dergisi
VL  - 29
IS  - 2
SN  - 1300-0578
SP  - 119
EP  - 124
DB  - TRDizin
UR  - http://search/yayin/detay/474622
ER  -