Indian pediatrics · 2023
Accuracy of Advanced Pediatric Life Support Intubation Depth Formula in Indian Children Aged 1 to 12 Years.
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Agrawal Sagar, Kumar Vishal, Gangwal Maansi, Komal, Patra Bijoy, Bano Shahina
Аннотация
OBJECTIVE: To evaluate the accuracy of the Advanced Pediatric Life Support (APLS) endotracheal tube (ET) depth formula in Indian children aged 1 to 12 years.
METHODS: We enrolled 86 children aged 1-12 years requiring intubation and ventilation. The ET depth was determined using the APLS formula, and chest X-rays were utilized to evaluate 'appropriate ET depth (accuracy)' based on 'vertebral level criteria' and 'safe distance between ET tip and carina.'
RESULTS: Out of 86 cases, none had bronchial intubation. An accuracy of 37.2% (32 cases) was observed, with 57% (49 cases) showing deep placement. Among deep placements, 11 met 'vertebral level criteria' but not 'safe distance criteria.' Redefining deep placement based solely on 'safe distance criteria,' resulted in 50% accuracy.
CONCLUSION: APLS formula effectively prevents bronchial intubation in Indian children, but tends to overestimate ET depth (50% cases) when considering the 'safe distance between ET tip and carina.'
METHODS: We enrolled 86 children aged 1-12 years requiring intubation and ventilation. The ET depth was determined using the APLS formula, and chest X-rays were utilized to evaluate 'appropriate ET depth (accuracy)' based on 'vertebral level criteria' and 'safe distance between ET tip and carina.'
RESULTS: Out of 86 cases, none had bronchial intubation. An accuracy of 37.2% (32 cases) was observed, with 57% (49 cases) showing deep placement. Among deep placements, 11 met 'vertebral level criteria' but not 'safe distance criteria.' Redefining deep placement based solely on 'safe distance criteria,' resulted in 50% accuracy.
CONCLUSION: APLS formula effectively prevents bronchial intubation in Indian children, but tends to overestimate ET depth (50% cases) when considering the 'safe distance between ET tip and carina.'