Measurement of the Endotracheal Tube ID Diameter Using Computed Tomography Images for Pediatric Patients: Comparison with Classic Formulas

dc.authorid323159en_US
dc.authorid125913en_US
dc.contributor.authorŞahin, Neşe Kutlutürk
dc.contributor.authorÖzcanoğlu, Hatice Dilek
dc.contributor.authorTürkay, Berna
dc.contributor.authorUlubay, Zahide Özlem
dc.contributor.authorRevanlı, Ayşe Sevinç
dc.contributor.authorToker, Kamil
dc.date.accessioned2021-09-07T13:15:17Z
dc.date.available2021-09-07T13:15:17Z
dc.date.issued2021
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractObjective: In this retrospective study, we aimed to evaluate the compatibility of endotracheal tube (ETT) size used during surgery with tracheal diameter measured by computed tomography(CT) and classic formulas in children who underwent CT imaging preoperatively due to surgical indications. Methods: The study included preoperatively CT scanned, 0-3 year-old patients who were operated due to congenital heart diseases between June 1-October 1, 2018.Using the CT scans, transverse and anteroposterior tracheal diameters were measured from the subglottic level. As these diameters reflect the external diameter of the ETT, the inner diameter-which corresponds the ETT size-was calculated using a correction formula. Besides, Cole’s formula was used to calculate the ETT size for each child, and the tube sizes used during surgeries were obtained from anesthesia charts.ETT sizes were compared. Results: 43 patients (22 girls [51.2%],21 boys [48.8%]) were included.The mean age was 10.5±9.6 months. 18 patients (41.9%) had cyanotic, 25 patients (58.1%) had acyanotic heart disease.Mean corrected transverse and anteroposterior tracheal diameters at CT images were 4.35±0.69mm and 4.30±0.71 mm, respectively. The mean diameter calculated by Cole’s formula was 4.22±0.20 mm. The mean tube size used during surgeries was 4.37±0.60 mm. There was no statistically significant difference between the tube sizes used during the surgeries and the corrected transverse tracheal diameters from CT measurements (p>0.05). But the tube sizes used during the surgeries found significantly larger than the diameters obtained by Cole’s formula (p<0.05). Conclusion: In 0-3 years of age pediatric patients who undergo a congenital heart surgery,corrected tracheal transverse diameter measured by CT is more effective,reliable and less invasive than classic formulas for determining appropriate ETT size.en_US
dc.identifier.citationGKDA Derg 2021;27(1):96-102en_US
dc.identifier.doi10.5222/GKDAD.2021.37167
dc.identifier.issn2147-9771
dc.identifier.trdizinid420297en_US
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/420297
dc.identifier.urihttps://doi.org/10.5222/GKDAD.2021.37167
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherGöğüs Kalp Damar Anestezi ve Yoğun Bakım Derneğien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.subjectPediatric endotracheal tube sizeen_US
dc.subjectSubglottic diameteren_US
dc.subjectComputed tomographyen_US
dc.subjectCole’s formulaen_US
dc.titleMeasurement of the Endotracheal Tube ID Diameter Using Computed Tomography Images for Pediatric Patients: Comparison with Classic Formulasen_US
dc.title.alternativePediatrik Hastalarda Bilgisayarlı Tomografi Kullanılarak Endotrakeal Tüp Çapının Belirlenmesi: Klasik Formüllerle Karşılaştırmaen_US
dc.typeArticleen_US

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