Body Surface Area Is Not a Reliable Predictor of Tracheal Tube Size in Children

Basit Öğe Kaydı
dc.contributor.authorUzumcugil, Filiz
dc.contributor.authorCelebioglu, Emre Can
dc.contributor.authorOzkaragoz, Demet Basak
dc.contributor.authorYilbas, Aysun Ankay
dc.contributor.authorAkca, Basak
dc.contributor.authorLotfinagsh, Nazgol
dc.contributor.authorCelebioglu, Bilge
dc.date.accessioned2024-09-29T16:06:40Z
dc.date.available2024-09-29T16:06:40Z
dc.date.issued2018
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjectives. 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.en_US
dc.identifier.doi10.21053/ceo.2018.00178
dc.identifier.endpage308en_US
dc.identifier.issn1976-8710
dc.identifier.issn2005-0720
dc.identifier.issue4en_US
dc.identifier.pmid30139232en_US
dc.identifier.scopus2-s2.0-85056350649en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage301en_US
dc.identifier.urihttps://doi.org/10.21053/ceo.2018.00178
dc.identifier.urihttps://hdl.handle.net/20.500.14619/6976
dc.identifier.volume11en_US
dc.identifier.wosWOS:000454983300012en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKorean Soc Otorhinolaryngolen_US
dc.relation.ispartofClinical and Experimental Otorhinolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBody Surface Areaen_US
dc.subjectEndotracheal Intubationen_US
dc.subjectPediatricsen_US
dc.subjectUltrasonographyen_US
dc.titleBody Surface Area Is Not a Reliable Predictor of Tracheal Tube Size in Childrenen_US
dc.typeArticleen_US

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