دورية أكاديمية
Incremental change in cross sectional area in small endotracheal tubes: A call for more size options.
| العنوان: | Incremental change in cross sectional area in small endotracheal tubes: A call for more size options. |
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| المؤلفون: | Mortelliti CL; Colgate University, Hamilton, NY, USA., Mortelliti AJ; Division of Pediatric Otolaryngology, Department of Otolaryngology & Communication Sciences, SUNY Upstate Medical University, Syracuse, NY, USA. Electronic address: mortella@upstate.edu. |
| المصدر: | International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2016 Aug; Vol. 87, pp. 110-3. Date of Electronic Publication: 2016 May 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Scientific Publishers Country of Publication: Ireland NLM ID: 8003603 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-8464 (Electronic) Linking ISSN: 01655876 NLM ISO Abbreviation: Int J Pediatr Otorhinolaryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Limerick : Elsevier Scientific Publishers Original Publication: [Amsterdam] Elsevier/North-Holland. |
| مواضيع طبية MeSH: | Equipment Design*, Airway Management/*instrumentation , Intubation, Intratracheal/*instrumentation, Child ; Child, Preschool ; Humans ; Infant |
| مستخلص: | Objective: To elucidate the relatively large incremental percent change (IPC) in cross sectional area (CSA) in currently available small endotracheal tubes (ETTs), and to make recommendation for lesser incremental change in CSA in these smaller ETTs, in order to minimize iatrogenic airway injury. Methods: The CSAs of a commercially available line of ETTs were calculated, and the IPC of the CSA between consecutive size ETTs was calculated and graphed. The average IPC in CSA with large ETTs was applied to calculate identical IPC in the CSA for a theoretical, smaller ETT series, and the dimensions of a new theoretical series of proposed small ETTs were defined. Results: The IPC of CSA in the larger (5.0-8.0 mm inner diameter (ID)) ETTs was 17.07%, and the IPC of CSA in the smaller ETTs (2.0-4.0 mm ID) is remarkably larger (38.08%). Applying the relatively smaller IPC of CSA from larger ETTs to a theoretical sequence of small ETTs, starting with the 2.5 mm ID ETT, suggests that intermediate sizes of small ETTs (ID 2.745 mm, 3.254 mm, and 3.859 mm) should exist. Conclusion: We recommend manufacturers produce additional small ETT size options at the intuitive intermediate sizes of 2.75 mm, 3.25 mm, and 3.75 mm ID in order to improve airway management for infants and small children. (Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Cricoid; Cross sectional area; Endotracheal tube; Options; Sizing; Subglottic stenosis |
| تواريخ الأحداث: | Date Created: 20160703 Date Completed: 20170417 Latest Revision: 20181202 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.ijporl.2016.04.022 |
| PMID: | 27368454 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1872-8464 |
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| DOI: | 10.1016/j.ijporl.2016.04.022 |