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Prediction of endotracheal tube size using airway ultrasonography and correlation with traditional formulas in pediatric patients undergoing cardiac surgery

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Název: Prediction of endotracheal tube size using airway ultrasonography and correlation with traditional formulas in pediatric patients undergoing cardiac surgery
Autoři: Serife Ozalp, Ezgi Direnc Yucel, Incila Ali Kahraman, Selin Saglam, Hatice Dilek Ozcanoglu, Erkut Ozturk, Funda Gumus Ozcan, Ali Can Hatemi
Zdroj: Medicine Science, Vol 14, Iss 3, Pp 640-4 (2025)
Informace o vydavateli: Society of Turaz Bilim, 2025.
Rok vydání: 2025
Sbírka: LCC:Medicine
Témata: airway ultrasonography, pediatric anesthesia, endotracheal tube size, cardiac surgery, predictive accuracy, Medicine
Popis: Accurate endotracheal tube (ETT) size selection is essential in pediatric patients undergoing cardiac surgery to minimize airway trauma and post-extubation complications. Traditional weight- and height-based formulas often fail to provide reliable predictions, necessitating the use of alternative methods, such as airway ultrasonography (USG). This study aims to assess the predictive effectiveness of USG in determining ETT size compared to conventional formulas. This prospective, single-center study included 20 pediatric patients younger than one year of age undergoing cardiac surgery. Preoperative ETT size predictions were obtained using USG, weight-based, and height-based formulas. The clinically applied ETT size was recorded, and statistical analyses, including correlation analysis, multivariate logistic regression, and Bland-Altman analysis, were performed to compare predictive accuracy. USG-predicted ETT sizes showed complete agreement with the clinically used ETT in all cases (100%), demonstrating a perfect correlation (r=1.00, p [Med-Science 2025; 14(3.000): 640-4]
Druh dokumentu: article
Popis souboru: electronic resource
Jazyk: English
ISSN: 2147-0634
Relation: https://www.medicinescience.org/?mno=243658; https://doaj.org/toc/2147-0634
DOI: 10.5455/medscience.2025.02.055
Přístupová URL adresa: https://doaj.org/article/38a7b49097744865a5e2720f19f1c0db
Přístupové číslo: edsdoj.38a7b49097744865a5e2720f19f1c0db
Databáze: Directory of Open Access Journals
Popis
Abstrakt:Accurate endotracheal tube (ETT) size selection is essential in pediatric patients undergoing cardiac surgery to minimize airway trauma and post-extubation complications. Traditional weight- and height-based formulas often fail to provide reliable predictions, necessitating the use of alternative methods, such as airway ultrasonography (USG). This study aims to assess the predictive effectiveness of USG in determining ETT size compared to conventional formulas. This prospective, single-center study included 20 pediatric patients younger than one year of age undergoing cardiac surgery. Preoperative ETT size predictions were obtained using USG, weight-based, and height-based formulas. The clinically applied ETT size was recorded, and statistical analyses, including correlation analysis, multivariate logistic regression, and Bland-Altman analysis, were performed to compare predictive accuracy. USG-predicted ETT sizes showed complete agreement with the clinically used ETT in all cases (100%), demonstrating a perfect correlation (r=1.00, p [Med-Science 2025; 14(3.000): 640-4]
ISSN:21470634
DOI:10.5455/medscience.2025.02.055