Dilek Altun, Emre Çamcı, Demet Altun, Can Doruk, Müserref Beril Dincer, Meltem Merve Güler

Pediyatrik Hastalarda Uygun Endotrakeal Tüp Çapının Belirlenmesi: Distal Radius Epifiz Çapının ve Subglottik Çapın Kullanımı

Amaç: Bu çalışmanın amacı, çocuklarda endotrakeal tüp (ETT) çapının belirlenmesinde yedek parametre olarak distal radius epifiz ölçümünün yararlılığını test etmektir. Yöntem: Yetmiş üç çocuk, yaşa dayalı formüle göre seçilen kafli ETT ile entübe edildi. Distal radius epifizinin transvers çapı ve trakeanın subglotik çapı ultrason (USG) ile ölçüldü. En uygun endotra- keal tüpün iç çapı ile hem radius epifizi hem de subglottik çapın transvers çapı arasındaki ilişki hesaplandı. Tüp değiştirme ihtiyacı, USG ölçümleri için zaman ve ölçümlerin kolaylık düzeyi karşı- laştırıldı. Bulgular: Entübasyonda ilk girişim başarısı %83.6 idi. Distal radiusun epifiz çapı ile en iyi uyan ETT arasındaki korelasyon anlamlıydı (p

Estimation of Appropriate Endotracheal Tube Size in Pediatric Patients: Use of Epiphyseal Diameter of the Distal Radius and Subglottic Diameter

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

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