胸部 X 射线对婴儿气管插管深度的预测价值

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2024-11-01 DOI:10.1016/j.ijporl.2024.112149

Junnan Chen , Shaoping Wu , Shouxing Duan , Yongfa Zhang

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引用次数: 0

摘要

方法收集了 161 名 3 岁以下婴儿的基本数据。根据术前胸片测量气管长度，以指导插管深度。结果161例病例（男/女=142/19，性别无显著差异，P=0.09）年龄从1个月到28个月，体重从2.5公斤到18.0公斤。气管插管深度达标率为100%，0例插管过深或过浅。相关性分析表明，气管长度与年龄和体重均呈正相关，与 13-28 个月的婴儿相比，1-12 个月的婴儿相关性更强（年龄的相关性为 0.751，体重的相关性为 0.672，p <0.01）（年龄的相关性为 0.672，体重的相关性为 0.672，p <0.01）。结论在常规胸部 X 光片上直接测量气管长度简单、可行且安全，可能是指导儿童气管插管深度的另一种选择。

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The predictive value of chest X-ray for the depth of tracheal intubation in infants

Objective

To determine the predictive value of chest X-ray for the depth of tracheal intubation in infants.

Methods

Basic data of 161 infants under 3 years old was collected. Tracheal length was measured on preoperative chest radiographs to guide intubation depth. Correlation analysis was performed to examine relationships between tracheal length, age, and body weight.

Results

161 cases (male/female = 142/19, no significant difference in sex, p = 0.09) were included, aged from 1 month to 28 months, weight from 2.5 kg to 18.0 kg. The endotracheal intubation depth reached the standard rate was 100 %, with 0 cases of over-deep or over-shallow intubation. Correlation analysis showed that tracheal length was positively correlated with both age and body weight, with stronger correlations observed in infants aged 1–12 months (r = 0.751 for age, r = 0.672 for weight, p < 0.01) compared to those aged 13–28 months (r = 0.672 for age, r = 0.408 for weight, p < 0.01).

Conclusion

Direct measurement of tracheal length on routinely performed chest X-rays is simple, feasible and safe, and may be another choice for guiding the depth of tracheal intubation in children.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.