Pediatric tracheal dimensions on computed tomography and its correlation with tracheostomy tube sizes

P. Naina; Kamran Asif Syed; Aparna Irodi; Mary John; Ajoy Mathew Varghese

doi:10.1002/lary.28141

Pediatric tracheal dimensions on computed tomography and its correlation with tracheostomy tube sizes

P. Naina^*, Kamran Asif Syed, Aparna Irodi, Mary John, Ajoy Mathew Varghese

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

OBJECTIVE: Age-based formulas for selecting the appropriate size of tracheostomy tubes in children are based on data on tracheal dimensions. This study aims to measure the tracheal dimensions of Indian children by computerized tomography (CT) and to compare this with the dimensions of age-appropriate tracheostomy tubes.

METHODS: CT scans of children aged less than 16 years that were taken for indications other than respiratory distress were included. Tracheal diameters at the tracheostomy point and tracheal length from the tracheostomy point to the carina were calculated from the scans. These dimensions were correlated with age, weight, and height. The measurement on the CT scan was used to predict the appropriate size of tracheostomy tube, which was compared with the tracheostomy tube sizes.

RESULTS: Two hundred and fourteen CT scans of children aged below 16 years were included in the study. On multiple logistic regression analysis, tracheal diameter correlated well with age and weight (P = 0.04 and 0.001, respectively), whereas tracheal length correlated well with age and height of the child (P = 0.03 and 0 < 0.001, respectively). On comparison with dimensions of the tracheostomy tube, tracheal diameter correlated well, and the length was found to be longer than needed to prevent endobronchial intubation. The regression value was used to predict the size of an ideal tracheostomy tube.

CONCLUSION: Tracheal diameter of Indian children correlates well with the outer diameter of age-appropriate tracheostomy tubes, but the length of these tubes is longer than the ideal length. This would necessitate a change in the design of these tubes.

LEVEL OF EVIDENCE: 2b Laryngoscope, 130:1316-1321, 2020.

Original language	English
Pages (from-to)	1316-1321
Number of pages	6
Journal	Laryngoscope
Volume	130
Issue number	5
DOIs	https://doi.org/10.1002/lary.28141
Publication status	Published - May 1 2020
Externally published	Yes

Keywords

computed tomography
Pediatric
tracheal diameter
tracheal dimensions
tracheal length
tracheostomy tube
Trachea/anatomy & histology
Correlation of Data
Humans
Child, Preschool
Organ Size
Infant
Male
Tomography, X-Ray Computed
Equipment Design
Tracheostomy/instrumentation
Adolescent
Female
Retrospective Studies
Child

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/lary.28141

Cite this

@article{94eb825c3ce345f89cb98eb9df32303c,

title = "Pediatric tracheal dimensions on computed tomography and its correlation with tracheostomy tube sizes",

abstract = "OBJECTIVE: Age-based formulas for selecting the appropriate size of tracheostomy tubes in children are based on data on tracheal dimensions. This study aims to measure the tracheal dimensions of Indian children by computerized tomography (CT) and to compare this with the dimensions of age-appropriate tracheostomy tubes.METHODS: CT scans of children aged less than 16 years that were taken for indications other than respiratory distress were included. Tracheal diameters at the tracheostomy point and tracheal length from the tracheostomy point to the carina were calculated from the scans. These dimensions were correlated with age, weight, and height. The measurement on the CT scan was used to predict the appropriate size of tracheostomy tube, which was compared with the tracheostomy tube sizes.RESULTS: Two hundred and fourteen CT scans of children aged below 16 years were included in the study. On multiple logistic regression analysis, tracheal diameter correlated well with age and weight (P = 0.04 and 0.001, respectively), whereas tracheal length correlated well with age and height of the child (P = 0.03 and 0 < 0.001, respectively). On comparison with dimensions of the tracheostomy tube, tracheal diameter correlated well, and the length was found to be longer than needed to prevent endobronchial intubation. The regression value was used to predict the size of an ideal tracheostomy tube.CONCLUSION: Tracheal diameter of Indian children correlates well with the outer diameter of age-appropriate tracheostomy tubes, but the length of these tubes is longer than the ideal length. This would necessitate a change in the design of these tubes.LEVEL OF EVIDENCE: 2b Laryngoscope, 130:1316-1321, 2020.",

keywords = "computed tomography, Pediatric, tracheal diameter, tracheal dimensions, tracheal length, tracheostomy tube, Trachea/anatomy & histology, Correlation of Data, Humans, Child, Preschool, Organ Size, Infant, Male, Tomography, X-Ray Computed, Equipment Design, Tracheostomy/instrumentation, Adolescent, Female, Retrospective Studies, Child",

author = "P. Naina and Syed, {Kamran Asif} and Aparna Irodi and Mary John and Varghese, {Ajoy Mathew}",

note = "Funding Information: We thank Ms Tunny Sebastian for her help with the statistics. {\textcopyright} 2019 The American Laryngological, Rhinological and Otological Society, Inc.",

year = "2020",

month = may,

day = "1",

doi = "10.1002/lary.28141",

language = "English",

volume = "130",

pages = "1316--1321",

journal = "Laryngoscope",

issn = "0023-852X",

publisher = "John Wiley and Sons Inc.",

number = "5",

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TY - JOUR

T1 - Pediatric tracheal dimensions on computed tomography and its correlation with tracheostomy tube sizes

AU - Naina, P.

AU - Syed, Kamran Asif

AU - Irodi, Aparna

AU - John, Mary

AU - Varghese, Ajoy Mathew

PY - 2020/5/1

Y1 - 2020/5/1

N2 - OBJECTIVE: Age-based formulas for selecting the appropriate size of tracheostomy tubes in children are based on data on tracheal dimensions. This study aims to measure the tracheal dimensions of Indian children by computerized tomography (CT) and to compare this with the dimensions of age-appropriate tracheostomy tubes.METHODS: CT scans of children aged less than 16 years that were taken for indications other than respiratory distress were included. Tracheal diameters at the tracheostomy point and tracheal length from the tracheostomy point to the carina were calculated from the scans. These dimensions were correlated with age, weight, and height. The measurement on the CT scan was used to predict the appropriate size of tracheostomy tube, which was compared with the tracheostomy tube sizes.RESULTS: Two hundred and fourteen CT scans of children aged below 16 years were included in the study. On multiple logistic regression analysis, tracheal diameter correlated well with age and weight (P = 0.04 and 0.001, respectively), whereas tracheal length correlated well with age and height of the child (P = 0.03 and 0 < 0.001, respectively). On comparison with dimensions of the tracheostomy tube, tracheal diameter correlated well, and the length was found to be longer than needed to prevent endobronchial intubation. The regression value was used to predict the size of an ideal tracheostomy tube.CONCLUSION: Tracheal diameter of Indian children correlates well with the outer diameter of age-appropriate tracheostomy tubes, but the length of these tubes is longer than the ideal length. This would necessitate a change in the design of these tubes.LEVEL OF EVIDENCE: 2b Laryngoscope, 130:1316-1321, 2020.

AB - OBJECTIVE: Age-based formulas for selecting the appropriate size of tracheostomy tubes in children are based on data on tracheal dimensions. This study aims to measure the tracheal dimensions of Indian children by computerized tomography (CT) and to compare this with the dimensions of age-appropriate tracheostomy tubes.METHODS: CT scans of children aged less than 16 years that were taken for indications other than respiratory distress were included. Tracheal diameters at the tracheostomy point and tracheal length from the tracheostomy point to the carina were calculated from the scans. These dimensions were correlated with age, weight, and height. The measurement on the CT scan was used to predict the appropriate size of tracheostomy tube, which was compared with the tracheostomy tube sizes.RESULTS: Two hundred and fourteen CT scans of children aged below 16 years were included in the study. On multiple logistic regression analysis, tracheal diameter correlated well with age and weight (P = 0.04 and 0.001, respectively), whereas tracheal length correlated well with age and height of the child (P = 0.03 and 0 < 0.001, respectively). On comparison with dimensions of the tracheostomy tube, tracheal diameter correlated well, and the length was found to be longer than needed to prevent endobronchial intubation. The regression value was used to predict the size of an ideal tracheostomy tube.CONCLUSION: Tracheal diameter of Indian children correlates well with the outer diameter of age-appropriate tracheostomy tubes, but the length of these tubes is longer than the ideal length. This would necessitate a change in the design of these tubes.LEVEL OF EVIDENCE: 2b Laryngoscope, 130:1316-1321, 2020.

KW - computed tomography

KW - Pediatric

KW - tracheal diameter

KW - tracheal dimensions

KW - tracheal length

KW - tracheostomy tube

KW - Trachea/anatomy & histology

KW - Correlation of Data

KW - Humans

KW - Child, Preschool

KW - Organ Size

KW - Infant

KW - Male

KW - Tomography, X-Ray Computed

KW - Equipment Design

KW - Tracheostomy/instrumentation

KW - Adolescent

KW - Female

KW - Retrospective Studies

KW - Child

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JO - Laryngoscope

JF - Laryngoscope

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ER -

Pediatric tracheal dimensions on computed tomography and its correlation with tracheostomy tube sizes

Abstract

Keywords

ASJC Scopus subject areas

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