Estimation of Trachea Size for an Emergency Tracheostomy
Purpose Tracheostomy is a procedure which requires careful selection of tracheostomy tube size, because it can significantly impact patient outcomes. However, in situations where radiological imaging is unavailable for measuring the tracheal inner diameter (ID), it can be estimated using the patient...
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| Language: | English |
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Korean Society of Acute Care Surgery
2024-11-01
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| Series: | Journal of Acute Care Surgery |
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| Online Access: | http://jacs.or.kr/upload/pdf/jacs-2024-14-3-88.pdf |
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| author | Hokyun Noh Sungwoo Jang Younghwan Kim Howon Lee Seok Hwa Youn |
| author_facet | Hokyun Noh Sungwoo Jang Younghwan Kim Howon Lee Seok Hwa Youn |
| author_sort | Hokyun Noh |
| collection | DOAJ |
| description | Purpose Tracheostomy is a procedure which requires careful selection of tracheostomy tube size, because it can significantly impact patient outcomes. However, in situations where radiological imaging is unavailable for measuring the tracheal inner diameter (ID), it can be estimated using the patient’s height, weight, and sex. This study aimed to develop a method for estimating tracheal ID. Methods A retrospective study was conducted on 468 adult patients who underwent chest computed tomography and chest X-ray at the National Medical Center from 2019 to 2021. Tracheal ID at the level of the jugular notch was measured and cross-checked. The correlation of the patient’s body size and sex was then checked with tracheal ID and a regression equation was obtained to estimate tracheal ID. Results Height showed the greatest correlation with tracheal ID, followed by either ideal body weight (IBW) or adjusted body weight (ABW). The regression equation to estimate tracheal ID was as follows: “Expected ID of the trachea (mm)” = [11.0781 + (1.9682 for Male or 1 for Female)] + [7.3767 × height (cm)] − {0.8022 × [√ IBW (kg) for healthy weight or ABW (kg) for obese]}. The equation was applied to determine appropriate tracheostomy tube sizes. Conclusion Tracheal ID can be estimated using patient sex, height, and either IBW or ABW. By providing a practical method for estimating tracheal ID, the derived regression equation can serve as a valuable tool for healthcare professionals in emergency situations, which may reduce tracheostomy complication rates and deliver better patient outcomes. |
| format | Article |
| id | doaj-art-959cca1d9dcf4f5c907fae40237c69b9 |
| institution | OA Journals |
| issn | 2288-5862 2288-9582 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj-art-959cca1d9dcf4f5c907fae40237c69b92025-08-20T01:54:21ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822024-11-01143889310.17479/jacs.2024.14.3.88303Estimation of Trachea Size for an Emergency TracheostomyHokyun Noh0Sungwoo Jang1Younghwan Kim2Howon Lee3Seok Hwa Youn4 Department of Surgery, National Medical Center, Seoul, Republic of Korea Department of Surgery, Soon Chun Hyang University Hospital, Seoul, Republic of Korea Department of Surgery, National Trauma Center, National Medical Center, Seoul, Republic of Korea Department of Laboratory Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea Department of Surgery, National Trauma Center, National Medical Center, Seoul, Republic of KoreaPurpose Tracheostomy is a procedure which requires careful selection of tracheostomy tube size, because it can significantly impact patient outcomes. However, in situations where radiological imaging is unavailable for measuring the tracheal inner diameter (ID), it can be estimated using the patient’s height, weight, and sex. This study aimed to develop a method for estimating tracheal ID. Methods A retrospective study was conducted on 468 adult patients who underwent chest computed tomography and chest X-ray at the National Medical Center from 2019 to 2021. Tracheal ID at the level of the jugular notch was measured and cross-checked. The correlation of the patient’s body size and sex was then checked with tracheal ID and a regression equation was obtained to estimate tracheal ID. Results Height showed the greatest correlation with tracheal ID, followed by either ideal body weight (IBW) or adjusted body weight (ABW). The regression equation to estimate tracheal ID was as follows: “Expected ID of the trachea (mm)” = [11.0781 + (1.9682 for Male or 1 for Female)] + [7.3767 × height (cm)] − {0.8022 × [√ IBW (kg) for healthy weight or ABW (kg) for obese]}. The equation was applied to determine appropriate tracheostomy tube sizes. Conclusion Tracheal ID can be estimated using patient sex, height, and either IBW or ABW. By providing a practical method for estimating tracheal ID, the derived regression equation can serve as a valuable tool for healthcare professionals in emergency situations, which may reduce tracheostomy complication rates and deliver better patient outcomes.http://jacs.or.kr/upload/pdf/jacs-2024-14-3-88.pdfcritical caretracheatracheostomytrauma |
| spellingShingle | Hokyun Noh Sungwoo Jang Younghwan Kim Howon Lee Seok Hwa Youn Estimation of Trachea Size for an Emergency Tracheostomy Journal of Acute Care Surgery critical care trachea tracheostomy trauma |
| title | Estimation of Trachea Size for an Emergency Tracheostomy |
| title_full | Estimation of Trachea Size for an Emergency Tracheostomy |
| title_fullStr | Estimation of Trachea Size for an Emergency Tracheostomy |
| title_full_unstemmed | Estimation of Trachea Size for an Emergency Tracheostomy |
| title_short | Estimation of Trachea Size for an Emergency Tracheostomy |
| title_sort | estimation of trachea size for an emergency tracheostomy |
| topic | critical care trachea tracheostomy trauma |
| url | http://jacs.or.kr/upload/pdf/jacs-2024-14-3-88.pdf |
| work_keys_str_mv | AT hokyunnoh estimationoftracheasizeforanemergencytracheostomy AT sungwoojang estimationoftracheasizeforanemergencytracheostomy AT younghwankim estimationoftracheasizeforanemergencytracheostomy AT howonlee estimationoftracheasizeforanemergencytracheostomy AT seokhwayoun estimationoftracheasizeforanemergencytracheostomy |