Pediatric anesthesia & critical care
The accuracy of the ultrasound measured transverse cricoid diameter and the epiphyseal transverse diameter of the distal radius in predicting the pediatric endotracheal tube size
Authors' conclusion
Both transverse cricoid diameter and epiphyseal diameter of the distal radius are reliable predictors of the size of best-fit-ETT pediatric endotracheal tube compared to age-based formulas.
Study context
- Population
- Children (1–6 years) undergoing elective surgery with ETT
- Participants
- 100 children
- Comparison
- Cuffed vs Uncuffed
- Cuffedn = 50
- Uncuffedn = 50
- Outcome
- Agreement between transverse cricoid diameter-based reference tube size (outer diameter) and final best-fit ETT
Performance
As reported in the abstract
Agreement rate, transverse cricoid diameter-based ETT size vs best-fit ETT size
Further findings
Correlation with best-fit ETT diameter
- Significant positive correlation between best-fit ETT outer diameter and outer diameter by both ultrasound methods
- Lower degree of positive correlation between best-fit ETT inner diameter and inner diameter by age-based formulas
Bland Altman agreement with best-fit ETT outer diameter
- Agreement with epiphyseal diameter of distal radius in both groups and with transverse cricoid diameter in the cuffed group; no agreement with age-based formulas in either group
Original publication
The accuracy of the ultrasound measured transverse cricoid diameter and the epiphyseal transverse diameter of the distal radius in predicting the pediatric endotracheal tube size. Paediatr Anaesth. Published 29 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →