Predicting the appropriate size of the uncuffed nasotracheal tube for pediatric patients: a retrospective study

研究成果: ジャーナルへの寄稿記事

抄録

Objectives: The selection of an appropriate size of tracheal tube is important for airway management. For nasotracheal intubation, passing the nasal cavity should be taken into account for the selection of tube size. The aim of this study was to investigate the selection of appropriate size of nasotracheal tube in pediatric patients retrospectively. Materials and methods: The 1–12-year patients underwent dental procedures under general anesthesia intubated nasotracheally. The correlation between height, age, weight, the tracheal diameters at C6, C7, Th2 on the chest X-ray, and actually performed tube sizes were calculated. In addition, we compared the relationships between the predicted tube size and actually the intubated tube size. Results: The tube sizes intubated actually were between 4.0 and 6.0-mm ID. The formula by height could be most suitable for tube size. The correspondence rates for the tube with 4.5- and 5.0-mm ID were 78% and 53%. When they were predicted as 5.5- or 6.0-mm ID, 0.5 mm smaller size tube were intubated actually; 56% and 70%. When the predicted tube size was 4.0-mm ID, 0.5 mm larger size tube was intubated actually; 66%. Conclusions: The formula by height could be most suitable for the selection of size for pediatric nasotracheal intubation. When the predicted tube size was 5.5 or 6.0-mm ID, 0.5 mm smaller size should be chosen at first. In the case of 4.0-mm ID, 0.5 mm larger size should be chosen for first trial. Clinical relevance: The present data indicate that the selection of nasotracheal tube using the formula by height might be useful.

元の言語英語
ページ(範囲)493-495
ページ数3
ジャーナルClinical Oral Investigations
23
発行部数1
DOI
出版物ステータス出版済み - 1 29 2019

Fingerprint

Intubation
Retrospective Studies
Pediatrics
Airway Management
Nasal Cavity
General Anesthesia
Tooth
Thorax
X-Rays
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

これを引用

Predicting the appropriate size of the uncuffed nasotracheal tube for pediatric patients : a retrospective study. / Tsukamoto, Masanori; Yamanaka, Hitoshi; Yokoyama, Takeshi.

:: Clinical Oral Investigations, 巻 23, 番号 1, 29.01.2019, p. 493-495.

研究成果: ジャーナルへの寄稿記事

@article{0834cf2dc63448c4bde902618b8f29e7,
title = "Predicting the appropriate size of the uncuffed nasotracheal tube for pediatric patients: a retrospective study",
abstract = "Objectives: The selection of an appropriate size of tracheal tube is important for airway management. For nasotracheal intubation, passing the nasal cavity should be taken into account for the selection of tube size. The aim of this study was to investigate the selection of appropriate size of nasotracheal tube in pediatric patients retrospectively. Materials and methods: The 1–12-year patients underwent dental procedures under general anesthesia intubated nasotracheally. The correlation between height, age, weight, the tracheal diameters at C6, C7, Th2 on the chest X-ray, and actually performed tube sizes were calculated. In addition, we compared the relationships between the predicted tube size and actually the intubated tube size. Results: The tube sizes intubated actually were between 4.0 and 6.0-mm ID. The formula by height could be most suitable for tube size. The correspondence rates for the tube with 4.5- and 5.0-mm ID were 78{\%} and 53{\%}. When they were predicted as 5.5- or 6.0-mm ID, 0.5 mm smaller size tube were intubated actually; 56{\%} and 70{\%}. When the predicted tube size was 4.0-mm ID, 0.5 mm larger size tube was intubated actually; 66{\%}. Conclusions: The formula by height could be most suitable for the selection of size for pediatric nasotracheal intubation. When the predicted tube size was 5.5 or 6.0-mm ID, 0.5 mm smaller size should be chosen at first. In the case of 4.0-mm ID, 0.5 mm larger size should be chosen for first trial. Clinical relevance: The present data indicate that the selection of nasotracheal tube using the formula by height might be useful.",
author = "Masanori Tsukamoto and Hitoshi Yamanaka and Takeshi Yokoyama",
year = "2019",
month = "1",
day = "29",
doi = "10.1007/s00784-018-2774-6",
language = "English",
volume = "23",
pages = "493--495",
journal = "Clinical Oral Investigations",
issn = "1432-6981",
publisher = "Springer Verlag",
number = "1",

}

TY - JOUR

T1 - Predicting the appropriate size of the uncuffed nasotracheal tube for pediatric patients

T2 - a retrospective study

AU - Tsukamoto, Masanori

AU - Yamanaka, Hitoshi

AU - Yokoyama, Takeshi

PY - 2019/1/29

Y1 - 2019/1/29

N2 - Objectives: The selection of an appropriate size of tracheal tube is important for airway management. For nasotracheal intubation, passing the nasal cavity should be taken into account for the selection of tube size. The aim of this study was to investigate the selection of appropriate size of nasotracheal tube in pediatric patients retrospectively. Materials and methods: The 1–12-year patients underwent dental procedures under general anesthesia intubated nasotracheally. The correlation between height, age, weight, the tracheal diameters at C6, C7, Th2 on the chest X-ray, and actually performed tube sizes were calculated. In addition, we compared the relationships between the predicted tube size and actually the intubated tube size. Results: The tube sizes intubated actually were between 4.0 and 6.0-mm ID. The formula by height could be most suitable for tube size. The correspondence rates for the tube with 4.5- and 5.0-mm ID were 78% and 53%. When they were predicted as 5.5- or 6.0-mm ID, 0.5 mm smaller size tube were intubated actually; 56% and 70%. When the predicted tube size was 4.0-mm ID, 0.5 mm larger size tube was intubated actually; 66%. Conclusions: The formula by height could be most suitable for the selection of size for pediatric nasotracheal intubation. When the predicted tube size was 5.5 or 6.0-mm ID, 0.5 mm smaller size should be chosen at first. In the case of 4.0-mm ID, 0.5 mm larger size should be chosen for first trial. Clinical relevance: The present data indicate that the selection of nasotracheal tube using the formula by height might be useful.

AB - Objectives: The selection of an appropriate size of tracheal tube is important for airway management. For nasotracheal intubation, passing the nasal cavity should be taken into account for the selection of tube size. The aim of this study was to investigate the selection of appropriate size of nasotracheal tube in pediatric patients retrospectively. Materials and methods: The 1–12-year patients underwent dental procedures under general anesthesia intubated nasotracheally. The correlation between height, age, weight, the tracheal diameters at C6, C7, Th2 on the chest X-ray, and actually performed tube sizes were calculated. In addition, we compared the relationships between the predicted tube size and actually the intubated tube size. Results: The tube sizes intubated actually were between 4.0 and 6.0-mm ID. The formula by height could be most suitable for tube size. The correspondence rates for the tube with 4.5- and 5.0-mm ID were 78% and 53%. When they were predicted as 5.5- or 6.0-mm ID, 0.5 mm smaller size tube were intubated actually; 56% and 70%. When the predicted tube size was 4.0-mm ID, 0.5 mm larger size tube was intubated actually; 66%. Conclusions: The formula by height could be most suitable for the selection of size for pediatric nasotracheal intubation. When the predicted tube size was 5.5 or 6.0-mm ID, 0.5 mm smaller size should be chosen at first. In the case of 4.0-mm ID, 0.5 mm larger size should be chosen for first trial. Clinical relevance: The present data indicate that the selection of nasotracheal tube using the formula by height might be useful.

UR - http://www.scopus.com/inward/record.url?scp=85058331319&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058331319&partnerID=8YFLogxK

U2 - 10.1007/s00784-018-2774-6

DO - 10.1007/s00784-018-2774-6

M3 - Article

C2 - 30543025

AN - SCOPUS:85058331319

VL - 23

SP - 493

EP - 495

JO - Clinical Oral Investigations

JF - Clinical Oral Investigations

SN - 1432-6981

IS - 1

ER -