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

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-11-01 DOI:10.1016/j.ijporl.2024.112149

Junnan Chen , Shaoping Wu , Shouxing Duan , Yongfa Zhang

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Abstract

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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胸部 X 射线对婴儿气管插管深度的预测价值

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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.