Prediction of Optimal Pediatric Endotracheal Tube Size "Aged Based Formula Versus Ultrasonography"

Launched by MANSOURA UNIVERSITY · Sep 16, 2018

Keywords

ClinConnect Summary

Introduction:

Pediatric tracheal intubation requires considerable expertise and can represent a challenge to many anesthesiologists(Marciniak et al.,2009). Anatomically; the larynx of a pediatric patient assumes a funnel shape with its narrowest part at the level of the cricoid ring, which cannot be seen during conventional laryngoscopy (Karsli et al.,2002).

Choosing the correct endotracheal tube (ETT) size needed for intubation of pediatric patients is important because an inappropriately too large tracheal tube can cause upper airway damage (e.g., local ischemia, ulceration, scar format...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • fifty four children aged from 1 to 6 years of either sex
• • scheduled for elective surgery not exceeded 90 minutes
• • underwent general anesthesia with uncuffed endotracheal tube.
• Exclusion Criteria:
• • an anticipated difficult airway
• • any respiratory disease that might cause airway narrowing
• • pre-exiting laryngeal or tracheal pathology
• • any lesion that could cause airway deformity due to fibrosis or the presence of a neck anatomical pathologies that might have unpredictable effect on the ultrasound assessment of the airway
• • prolonged surgery more than 90 minutes .