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Selection of an Appropriate Left-sided Double-lumen Tube Size for One-lung Ventilation among Asians

CONTEXT: Selecting an appropriate size double-lumen tube (DLT) for one-lung ventilation has always been a challenge as most choose it based on experience or using the existing guidelines based on gender and height. AIMS: The aim of this study was to determine if the appropriate choice of this tube c...

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Autores principales: Ideris, Siti Salwani, Che Hassan, Muhamad Rahimi, Abdul Rahman, Mohd. Ramzisham, Ooi, Joanna Su Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5290690/
https://www.ncbi.nlm.nih.gov/pubmed/28074791
http://dx.doi.org/10.4103/0971-9784.197824
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author Ideris, Siti Salwani
Che Hassan, Muhamad Rahimi
Abdul Rahman, Mohd. Ramzisham
Ooi, Joanna Su Min
author_facet Ideris, Siti Salwani
Che Hassan, Muhamad Rahimi
Abdul Rahman, Mohd. Ramzisham
Ooi, Joanna Su Min
author_sort Ideris, Siti Salwani
collection PubMed
description CONTEXT: Selecting an appropriate size double-lumen tube (DLT) for one-lung ventilation has always been a challenge as most choose it based on experience or using the existing guidelines based on gender and height. AIMS: The aim of this study was to determine if the appropriate choice of this tube could be based on the patients’ height, weight, tracheal diameter (TD), or the left main stem bronchus diameter (LMBD) and also to determine the relationship between height and depth of insertion among Asians. SUBJECTS AND METHODS: This was a retrospective review of 179 patients who were intubated with a left-sided DLT and also had a posterior-anterior view of a digital chest radiograph for tracheal and left main bronchus diameter measurements. Additional data collected included patients’ demographics and DLT size used. RESULTS: There were 123 (68.7%) males and 56 (31.3%) females with an overall mean age of 33.3 ± 16.3 years. Majority of the males (48.8%) used a size 39 Fr while females (46.4%) used a 35 Fr. There were weak correlations between DLT size with height (male: R(2) = 0.222; female: R(2) = 0.193), DLT size with weight (male: R(2) = 0.109; female: R(2) = 0.211), DLT size with TD (male: R(2) = 0.027); female: R(2) = 0.016), and DLT size with LMBD (male: R(2) = 0.222; female: R(2) = 0.193). There was a good correlation between depth of DLT inserted with patient's height for both genders. CONCLUSION: The appropriate size of the left-sided DLT could not be predicted based on patients’ height, weight, tracheal or left main bronchus diameter alone in Asians; however, the depth of insertion of the tube was dependent on the height in both genders.
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spelling pubmed-52906902017-02-17 Selection of an Appropriate Left-sided Double-lumen Tube Size for One-lung Ventilation among Asians Ideris, Siti Salwani Che Hassan, Muhamad Rahimi Abdul Rahman, Mohd. Ramzisham Ooi, Joanna Su Min Ann Card Anaesth Original Article CONTEXT: Selecting an appropriate size double-lumen tube (DLT) for one-lung ventilation has always been a challenge as most choose it based on experience or using the existing guidelines based on gender and height. AIMS: The aim of this study was to determine if the appropriate choice of this tube could be based on the patients’ height, weight, tracheal diameter (TD), or the left main stem bronchus diameter (LMBD) and also to determine the relationship between height and depth of insertion among Asians. SUBJECTS AND METHODS: This was a retrospective review of 179 patients who were intubated with a left-sided DLT and also had a posterior-anterior view of a digital chest radiograph for tracheal and left main bronchus diameter measurements. Additional data collected included patients’ demographics and DLT size used. RESULTS: There were 123 (68.7%) males and 56 (31.3%) females with an overall mean age of 33.3 ± 16.3 years. Majority of the males (48.8%) used a size 39 Fr while females (46.4%) used a 35 Fr. There were weak correlations between DLT size with height (male: R(2) = 0.222; female: R(2) = 0.193), DLT size with weight (male: R(2) = 0.109; female: R(2) = 0.211), DLT size with TD (male: R(2) = 0.027); female: R(2) = 0.016), and DLT size with LMBD (male: R(2) = 0.222; female: R(2) = 0.193). There was a good correlation between depth of DLT inserted with patient's height for both genders. CONCLUSION: The appropriate size of the left-sided DLT could not be predicted based on patients’ height, weight, tracheal or left main bronchus diameter alone in Asians; however, the depth of insertion of the tube was dependent on the height in both genders. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5290690/ /pubmed/28074791 http://dx.doi.org/10.4103/0971-9784.197824 Text en Copyright: © 2017 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ideris, Siti Salwani
Che Hassan, Muhamad Rahimi
Abdul Rahman, Mohd. Ramzisham
Ooi, Joanna Su Min
Selection of an Appropriate Left-sided Double-lumen Tube Size for One-lung Ventilation among Asians
title Selection of an Appropriate Left-sided Double-lumen Tube Size for One-lung Ventilation among Asians
title_full Selection of an Appropriate Left-sided Double-lumen Tube Size for One-lung Ventilation among Asians
title_fullStr Selection of an Appropriate Left-sided Double-lumen Tube Size for One-lung Ventilation among Asians
title_full_unstemmed Selection of an Appropriate Left-sided Double-lumen Tube Size for One-lung Ventilation among Asians
title_short Selection of an Appropriate Left-sided Double-lumen Tube Size for One-lung Ventilation among Asians
title_sort selection of an appropriate left-sided double-lumen tube size for one-lung ventilation among asians
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5290690/
https://www.ncbi.nlm.nih.gov/pubmed/28074791
http://dx.doi.org/10.4103/0971-9784.197824
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