We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Accuracy of Advanced Pediatric Life Support Intubation Depth Formula in Indian Children Aged 1 to 12 Years.
- Authors
Agrawal, Sagar; Kumar, Vishal; Gangwal, Maansi; Komal; Patra, Bijoy; Bano, Shahina
- Abstract
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.'
- Subjects
INTUBATION; ENDOTRACHEAL tubes
- Publication
Indian Pediatrics, 2023, Vol 60, Issue 12, p997
- ISSN
0019-6061
- Publication type
Article
- DOI
10.1007/s13312-023-3062-3