Prediction of Double-Lumen Tube Size By Ultrasonography for Asian Women: A Prospective Observational Study
| Autor: | Lili Cheng, Youjing Dong, Shiqing Liu, Jing Zhou, Wenxu Qi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_treatment
Computed tomography Bronchi 030204 cardiovascular system & hematology Cricoid Cartilage 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Cricoid cartilage medicine Intubation Intratracheal Intubation Humans Prospective Studies Transverse diameter Double lumen tube Ultrasonography medicine.diagnostic_test business.industry respiratory system Anesthesiology and Pain Medicine medicine.anatomical_structure Observational study Female Cardiology and Cardiovascular Medicine Nuclear medicine business Tracheal segment |
| Zdroj: | Journal of cardiothoracic and vascular anesthesia. 35(5) |
| ISSN: | 1532-8422 |
| Popis: | To assess the agreement of the diameter of the cricoid cartilage by computed tomography and ultrasonography and to compare the accuracy of the left double-lumen tubes (DLTs) and right DLTs predicted by ultrasonography for Asian women.Prospective observational study.Academic, tertiary care hospital.Fifty female patients intubated with a left DLT and 50 female patients intubated with a right DLT.No intervention.A radiologist measured the transverse cricoid diameter by computed tomography (CT), and an independent echographer measured the transverse cricoid diameter using ultrasonography. The size of the DLT was selected based on the cricoid diameter by ultrasonography. The agreement of the transverse cricoid diameter was assessed by computed tomography and ultrasonography. The accuracy of the DLT, the tracheal segment, and the bronchial segment were compared between the left intubation group and right intubation group. There was a good agreement between the transverse cricoid diameter measured by ultrasonography and CT (r = 0.946, p0.001). The overall accuracy of the DLTs was similar between the groups (86.0% v 92.0%, p = 0.318). There were no significant differences in the accuracy of the tracheal segment (96.0% v 94.0%; p = 1.000) and the bronchial segment (90.0% v 98.0%, p = 0.056).The transverse diameter of the cricoid cartilage in most Asian women can be accurately measured by ultrasonography. The size of the DLT for Asian women can be predicted by ultrasonography measurement of the cricoid diameter. |
| Databáze: | OpenAIRE |
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