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Research ArticleOriginal Article
Open Access

Determining optimal cuff volume for cuffed endotracheal tubes commonly used in pediatric patients

A prospective observational study

Kahir Güneş, Feyza Sever and Sengül Özmert
Saudi Medical Journal February 2024, 45 (2) 147-153; DOI: https://doi.org/10.15537/smj.2024.45.2.20230578
Kahir Güneş
From the Department of Anaesthesiology and Reanimation, Ankara City Hospital, Ankara, Turkey.
MD
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  • ORCID record for Kahir Güneş
  • For correspondence: [email protected]
Feyza Sever
From the Department of Anaesthesiology and Reanimation, Ankara City Hospital, Ankara, Turkey.
MD
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Sengül Özmert
From the Department of Anaesthesiology and Reanimation, Ankara City Hospital, Ankara, Turkey.
MD, PhD
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    Figure 1

    - Relationship between endotracheal tube cuff volume and subglottic transverse diameter measured by ultrasound

Tables

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    Table 1

    - Demographic characteristics of the patients by group.

    VariablesGroup I (n=42)Group II (n=43)Group III (n=42)P-values
    Gender
    Male27 (64.3)24 (55.8)30 (71.4)0.325*
    Female15 (35.7)19 (44.2)12 (28.6)
    Age (month)52.0±11.788.8±17.1114.4±18.4<0.001†
    Weight (kg)17.8±3.826.2±5.237.0±9.1<0.001†
    BMI (kg/m2)15.6±2.916.6±2.718.8±3.6<0.001†
    ASA
    I31 (73.8)39 (90.7)32 (76.2)0.105*
    II11 (26.2)4 (9.3)10 (23.8)

    Values are presented as numbers and precentages (%) or mean ± standard deviation (SD). Group I: 4.5 inner diameter (ID), Group II: 5.0 ID, and Group III: 5,5 ID.

    BMI: body mass index, ASA: American Society of Anaesthesiologists

    • ↵* Chi-square test,

    • ↵† One-way ANOVA.

    • View popup
    Table 2

    - Factors predicting the endotracheal tube cuff volume (n=90).

    VariablesβSE95% CIP-value*
    Constant-0.1910.229-0.645, -0.2640.406
    Height (m)1.0270.3050.421-1.6340.001
    Subglottic transverse diameter measured by USG (mm)0.1040.0450.014-0.1930.023

    CI: confidence interval, β: beta coefficient, SE: standard error, USG: ultrasonography

    • ↵* Linear regression (R2)=0.50 (p<0.05), F (2, 87)= 111.288 (p<0.05).

    • View popup
    Table 3

    - Correlation of the endotracheal tube cuff volume predicted by the regression model with the actual volume in the validation group (n=37).

    ParameterPredicted volume for testing
    rP-value*
    ETT cuff volume0.586<0.001
    • ↵* Pearson correlation test (R2=0.343). ETT: endotracheal tube, r: correlation coefficient

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Saudi Medical Journal: 45 (2)
Saudi Medical Journal
Vol. 45, Issue 2
1 Feb 2024
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Determining optimal cuff volume for cuffed endotracheal tubes commonly used in pediatric patients
Kahir Güneş, Feyza Sever, Sengül Özmert
Saudi Medical Journal Feb 2024, 45 (2) 147-153; DOI: 10.15537/smj.2024.45.2.20230578

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Determining optimal cuff volume for cuffed endotracheal tubes commonly used in pediatric patients
Kahir Güneş, Feyza Sever, Sengül Özmert
Saudi Medical Journal Feb 2024, 45 (2) 147-153; DOI: 10.15537/smj.2024.45.2.20230578
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Keywords

  • intubation
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