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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2017
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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. |
format | Online Article Text |
id | pubmed-5290690 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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