Endotracheal Tube, Finger
Conditions
Keywords
Uncuffed endotracheal tube, age-based formula, Circumference of finger
Brief summary
The goal of this observational study is to investigate the correlation between anthropometric characteristics, such as finger circumferences, body weight, body height, and body mass index, and age-based formulas for uncuffed tube size in pediatric patients up to 8 years of age.
Detailed description
Patients who met inclusion criteria entered the study. All included patients were premedicated with midazolam 0.1mg/kg IV 30 minutes before general anesthesia. Induction: propofol 2,5mg/kg IV, rocuronium 0,6mg/kg IV, fentanyl 3mcg/kg IV; maintenance: sevoflurane 1vol% - 2vol%, fentanyl 3mcg/kg IV as needed. reversion of neuromuscular block was achieved using sugammadex. Trachea was intubated using direct laryngoscopy. Intubation performed one anesthesiologist with more than 10 years of clinical experience in pediatric anesthesia. Initial choice of endotracheal tube (ET) was based on the size of little finger. Proper position of ET was confirmed with chest auscultation, capnography and capnometry. If placing ET was difficult or air leak was not detected using inspiratory pressure \> 25cmH2O,ET was replaced with 0,5mm smaller one. If there was air leak using inspiratory pressure \< 10 mmHg ET was replaced with 0.5mm bigger one. All children were ventilated using protective strategy. After intubation, measures were made: 1. Finger's circumference was measured with flexible ruler tape (in millimeters). The tape was wrapped around the base of the finger. Circumferences of index finger, middle finger, ring finger and small finger were documented for each hand. 2. Data of body weight, body height and body mass index were taken from patients history. 3. Sizes of used endotracheal tubes were documented. 4. Calculations of ET tube size using age based formulas were made: for children over 2 years ID (mm) = god/4+4 for children under 2 years of age ODcal (mm) = 0,00223x age(days)+4.88
Interventions
None listed
Sponsors
Mother and Child Health Institute of Serbia Dr Vukan Cupic
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Days to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* Age up to 8 years of age; * Children without congenital and acquired anomalies of the trachea; * Children in whom tracheal intubation is planned as part of the anesthesia plan
Exclusion criteria
* Age over 8 years of age; * The presence of congenital and acquired anomalies of the trachea; * Children who are already intubated; and failure to obtain informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of the study was determining the correlation between the size of the selected tube and the circumference of the little finger of the right and left hand | Day 1 |
Secondary
| Measure | Time frame |
|---|---|
| determining the frequency of reintubation | Day 1 |
| determining the correlation between the size of the selected tube and the circumference of the index finger of the right and left hand | Day 1 |
| determining the correlation between the size of the selected tube and the circumference of the middle finger of the right and left hand | Day 1 |
| Determining the correlation between the size of the selected tube and the circumference of the ring finger of the right and left hand | Day 1 |
| determining the correlation between the size of the selected tube and body weight | Day 1 |
| Determining the frequency of post-treatment complications of hoarseness, cough and sore throat | Day 1 |
| determining the correlation between the size of the selected tube and body height | Day 1 |
Countries
Serbia
Outcome results
None listed