edoc

Assessment of three placement techniques for individualized positioning of the tip of the tracheal tube in children under the age of 4 years

Moll, Jens and Erb, Thomas O. and Frei, Franz J.. (2015) Assessment of three placement techniques for individualized positioning of the tip of the tracheal tube in children under the age of 4 years. Paediatric Anaesthesia, 25 (4). pp. 379-385.

Full text not available from this repository.

Official URL: http://edoc.unibas.ch/53317/

Downloads: Statistics Overview

Abstract

Accurate positioning of the tip of the tracheal tube (tube tip) is challenging in young children. Prevalent clinical methods include placement of intubation depth marks, palpation of the tube cuff in the suprasternal notch, or deliberate mainstem intubation with subsequent withdrawal. To compare the predictability of tube tip positions, variability of the resulting positions in relation to the carina was determined applying the three techniques in each patient.; In 68 healthy children aged ≤4 years, intubation was performed with an age-adapted, high-volume low-pressure cuffed tube adjusting the imprinted depth mark to the level of the vocal cords. The tube tip-to-carina distance was measured endoscopically. Thereafter, placements using (I) cuff palpation in the suprasternal notch and (II) auscultation to determine change in breath sounds during withdrawal after bronchial mainstem intubation were completed in random order.; Tube tip position above the carina was higher when using depth marks (mean = 36.8 mm) compared with cuff palpation in the suprasternal notch (mean = 19.0 mm). Variability, expressed as sd, was lowest with the mainstem intubation technique (5.2 mm) followed by the cuff palpation (7.4 mm) and the depth mark technique (11.2 mm) (P < 0.005).; Auscultation after deliberate mainstem intubation and cuff palpation resulted in a tube tip position above the carina that was shorter and more predictable than placement of the tube using depth markings.
Faculties and Departments:03 Faculty of Medicine > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB) > Anästhesie (Frei/Erb)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB) > Anästhesie (Frei/Erb)
UniBasel Contributors:Moll, Jens and Erb, Thomas O. and Frei, Franz Josef
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley
ISSN:1155-5645
e-ISSN:1460-9592
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:05 Oct 2017 10:04
Deposited On:05 Oct 2017 10:04

Repository Staff Only: item control page