Pediatric anesthesia & critical care

A new formula based on height for determining endotracheal intubation depth in pediatrics: A prospective study

J Clin AnesthPublished Prospective observational study

Authors' conclusion

The prediction accuracy for intubation depth of the new formula 1 was higher than the other formulae.

Study context

Population
Children aged 4–12 years undergoing elective surgery with general orotracheal anesthesia
Participants
111 children
Exposure
New height-based formulae vs APLS (age-based) formula vs MFL-based formula for ETT depth
Outcome
Derivation of an endotracheal intubation depth formula based on strongly correlated growth parameters (optimal depth measured by Disposcope)
Methodological detailsself-controlled paired design
  • Self-controlled paired design

Main finding

As reported in the abstract

Correlation of growth parameters with tracheal length and intubation depth
  • Height strongly correlated with tracheal length and intubation depth (R = 0.897, P < 0.001)

Observational data: associations, not effects.

Secondary outcomes

OutcomeNew formula 1New formula 2APLS formulaMFL-based formula
Bland-Altman mean difference of predicted vs optimal intubation depthSelf-controlled paired designmean difference - 0.354 (95% LOA −1.289–1.998) cmmean difference 1.354 (95% LOA −0.289–2.998) cmmean difference 1.154 (95% LOA −1.002–3.311) cmmean difference −0.619 (95% LOA −2.960–1.723) cm
Rate of optimal intubation84.69%55.86%61.26%— not stated in the abstract

— not stated in the abstract

Rate of optimal intubation

Rate higher for new formula 1 than for new formula 2, APLS formula and MFL-based formula

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

A new formula based on height for determining endotracheal intubation depth in pediatrics: A prospective study. J Clin Anesth. Published 14 February 2023. doi:10.1016/j.jclinane.2023.111079

Composed by AI from the published abstract and checked against it. How Briefs are made →

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