Prediction of the Size of Double Lumen Endotracheal Intubation by Measuring the Diameter of the TracheaHao Zhang, Yilu Zhou, Peilin Cong, Bi Xia, Yinglin Wang and Qingxiu Wang*
Department of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine, China
- *Corresponding Author:
- Qingxiu Wang
Department of Anesthesiology
Shanghai East Hospital
Tongji University School of Medicine
150 Jimo Road, Shanghai 200120, China
E-mail: [email protected]
Received date: October 01, 2016; Accepted date: October 27, 2016; Published date: November 05, 2016
Citation: Zhang H, Zhou Y, Cong P, Xia B, Wang Y, et al. (2016) Prediction of the Size of Double Lumen Endotracheal Intubation by Measuring the Diameter of the Trachea. Anat Physiol 6:247. doi:10.4172/2161-0940.1000247
Copyright: © 2016 Zhang H et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Objective: To find the faster and easier way than the existing intubating technique for double-lumen tube. We prediction of required double lumen tube size by measure the X-ray trachea diameter size before surgery.
Methods: Randomly selected 100 cases of single lung ventilation in patients undergoing thoracic surgery. Measurement of tracheal diameter at the level of clavicle in X-ray. Choose the double-lumen size according to the measurement of tracheal diameter in X-ray. If the tracheal diameter greater than 16 mm, choose a 39 Fr double lumen tube, if the trachea diameter between 15-16 mm, used 37 Fr double lumen tube, with less than 15 mm, used 35 Fr double lumen tube. Record the number of intubation and whether there is difficulty for double lumen tube through the glottis.
Results: All patients’ double lumen were selected according for the measurement of the diameter of the trachea, all successful intubation and accurate localization of bronchus.
Conclusion: There was no significant difference in the diameter of trachea with age, body weight and height, and the diameter of the female trachea was significantly narrower than that of the male. For vast majority of male Chinese, 39 Fr double lumen tube is suitable, and the height and weight is of small relation, female patients with large differences in the airway diameter, height, weight, gender cannot be the basis for the choice of double lumen tube.