Body Surface Area Is Not a Reliable Predictor of Tracheal Tube Size in Children
Küçük Resim Yok
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Korean Soc Otorhinolaryngol
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives. The age-based Cole formula has been employed estimation of endotracheal tube (ETT) size due to its case of use, but may not appropriately consider growth rates among children. Child growth is assessed by calculating the body surface area (BSA). The association between the outer diameter of an appropriate uncuffed-endotracheal-tube (ETT-OD) and the BSA values of patients at 24-96 months of age was our primary outcome. Methods. Cole formula, BSA, age, height, weight and ultrasound measurement of subglottic-transverse-diameter were evaluated for correlations with correct uncuffed ETT-OD. The Cole formula, BSA, and ultrasound measurements were analyzed for estimation rates in all patients and age subgroups. The maximum allowed error for the estimation of ETT-OD was <= 0.3 mm. Patients' tracheas were intubated with tubes chosen by Cole formula and correct ETT-OD values were determined using leak test. ETT exchange rates were recorded. Results. One-hundred twenty-seven patients were analyzed for the determination of estimation rates. Thirteen patients aged >= 72 months were intubated with cuffed ETT-OD of 8.4 mm and were accepted to need uncuffed FTT-OD >8.4 mm in order to be included in estimation rates, but excluded from correlations for size analysis. One-hundred fourteen patients were analyzed for correlations between correct ETT-OD (determined by the leak test) and outcome parameters. Cole formula, ultrasonography, and BSA had similar correct estimation rates. All three parameters had higher underestimation rates as age increased. Conclusion. The Cole formula, BSA, and ultrasonography had similar estimation rates patients aged >= 24 to <= 96 months. BSA had a correct estimation rate of 40.2% and may not be reliable in clinical practice to predict uncuffed-ETT-size.
Açıklama
Anahtar Kelimeler
Body Surface Area, Endotracheal Intubation, Pediatrics, Ultrasonography
Kaynak
Clinical and Experimental Otorhinolaryngology
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
11
Sayı
4