Point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery

Abstract We aimed to evaluate the efficacy of using airway ultrasonography to select the correct tracheal tube size and insertion depth in pediatric patients who underwent cleft repair surgery as a way to decrease airway complications and adverse events during perioperative periods. Fifty-one patien...

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Autores principales:	Jung Hwan Ahn, Jae Hyun Park, Min Soo Kim, Hyun Cheol Kang, Il Seok Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ba335295e34a4bbab69f40ccf4cc872a
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spelling	oai:doaj.org-article:ba335295e34a4bbab69f40ccf4cc872a2021-12-02T15:52:58ZPoint of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery10.1038/s41598-021-84297-42045-2322https://doaj.org/article/ba335295e34a4bbab69f40ccf4cc872a2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84297-4https://doaj.org/toc/2045-2322Abstract We aimed to evaluate the efficacy of using airway ultrasonography to select the correct tracheal tube size and insertion depth in pediatric patients who underwent cleft repair surgery as a way to decrease airway complications and adverse events during perioperative periods. Fifty-one patients (age < 28 months) were consecutively divided into conventional (n = 28) and ultrasound (n = 23) groups. Tracheal tube size and insertion depth were determined using the age-based formula and auscultation in the conventional group, whereas using ultrasonographic measurement of subglottic diameter with auscultation and lung ultrasonography in the ultrasound group. We evaluated the initially selected tube size, insertion depth, ventilatory indices, and the incidence of airway complications and adverse events. Tube insertion depth (median [interquartile range]) was significantly greater in the ultrasound group than in the conventional group (13.5 cm [12.5–14.0] vs 13.0 cm [11.8–13.0], P = 0.045). The number of complications and adverse events was significantly higher in the conventional group than in the ultrasound group (32.1% vs 4.3%, P = 0.013). Airway ultrasound application could reduce airway-related complications and adverse events by determining the appropriate tracheal tube size and insertion depth.Jung Hwan AhnJae Hyun ParkMin Soo KimHyun Cheol KangIl Seok KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jung Hwan Ahn Jae Hyun Park Min Soo Kim Hyun Cheol Kang Il Seok Kim Point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery
description	Abstract We aimed to evaluate the efficacy of using airway ultrasonography to select the correct tracheal tube size and insertion depth in pediatric patients who underwent cleft repair surgery as a way to decrease airway complications and adverse events during perioperative periods. Fifty-one patients (age < 28 months) were consecutively divided into conventional (n = 28) and ultrasound (n = 23) groups. Tracheal tube size and insertion depth were determined using the age-based formula and auscultation in the conventional group, whereas using ultrasonographic measurement of subglottic diameter with auscultation and lung ultrasonography in the ultrasound group. We evaluated the initially selected tube size, insertion depth, ventilatory indices, and the incidence of airway complications and adverse events. Tube insertion depth (median [interquartile range]) was significantly greater in the ultrasound group than in the conventional group (13.5 cm [12.5–14.0] vs 13.0 cm [11.8–13.0], P = 0.045). The number of complications and adverse events was significantly higher in the conventional group than in the ultrasound group (32.1% vs 4.3%, P = 0.013). Airway ultrasound application could reduce airway-related complications and adverse events by determining the appropriate tracheal tube size and insertion depth.
format	article
author	Jung Hwan Ahn Jae Hyun Park Min Soo Kim Hyun Cheol Kang Il Seok Kim
author_facet	Jung Hwan Ahn Jae Hyun Park Min Soo Kim Hyun Cheol Kang Il Seok Kim
author_sort	Jung Hwan Ahn
title	Point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery
title_short	Point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery
title_full	Point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery
title_fullStr	Point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery
title_full_unstemmed	Point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery
title_sort	point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/ba335295e34a4bbab69f40ccf4cc872a
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Point of care airway ultrasound to select tracheal tube and determine insertion depth in cleft repair surgery

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