A simple method to predict pretracheal tissue thickness to prevent accidental decannulation in the obese

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Christopher SzetoNicholas Christou

Abstract

Accidental decannulation is the most common and serious complication associated with tracheostomy in obese patients. We lack a simple way to choose appropriate-size tracheostomy tubes in this patient subset. Our purpose was to 1) establish the range of trachea-to-skin soft tissue thickness (TTSSTT) in obese patients and 2) determine which easily obtained anthropometric measurements are most predictive of TTSSTT. Case series with planned data collection. Tertiary care center. Forty consenting patients with body mass index ranging from 30 to 70 were evaluated. These patients, from a bariatric clinic, underwent ultrasound (US) of the neck in predetermined sitting, supine, and neck-extended positions (as for tracheostomy). US was performed by a qualified radiologist. Standard anthropometric measurements of weight, height, arm, hip, waist, and neck sizes were performed. Multiple regression analysis was used to determine which anthropometric measurements best correlated with TTSSTT. The TTSSTT, as measured by US in the supine position, ranged from 0.65 to 3.53 cm. Although the anthropometric measurement most predictive of TTSSTT was waist circumference, a combination of the more practical arm and neck circumferences resulted in an eq...Continue Reading

References

Jul 15, 1995·BMJ : British Medical Journal·M E LeanC E Morrison
Oct 31, 1998·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·H Rott
Oct 31, 2000·Radiologic Clinics of North America·D Koischwitz, N Gritzmann
Mar 3, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·P V Lim, R Raman
Jun 6, 2003·QJM : Monthly Journal of the Association of Physicians·D C ChanV Burke
Aug 15, 2003·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Marco GalloRoberto Valcavi
Jul 29, 2004·The Laryngoscope·Lee M Akst, Isaac Eliachar
Feb 14, 2006·The American Journal of Clinical Nutrition·Ingrid LarssonLars Sjöström
Apr 6, 2006·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal
Jan 16, 2007·Critical Care : the Official Journal of the Critical Care Forum·Ali A El Solh, Wafaa Jaafar
Feb 22, 2007·Anesthesia and Analgesia·Karim LakhalMarc Laffon
May 5, 2007·Critical Care : the Official Journal of the Critical Care Forum·Tim McCormick, Richard Venn
Nov 18, 2008·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Altan OnatDursun Dursunoğlu
Nov 26, 2008·The Laryngoscope·Ilaaf Darrat, Kathleen Yaremchuk

❮ Previous
Next ❯

Citations

Jan 31, 2012·The Journal of Laryngology and Otology·S G Khoo, N Rajaretnam
Nov 4, 2011·World Journal of Emergency Surgery : WJES·Joao B Rezende-NetoSandro B Rizoli
Feb 24, 2011·Critical Care : the Official Journal of the Critical Care Forum·Venkatakrishna RajajeeTeresa L Jacobs
Dec 17, 2011·AJNR. American Journal of Neuroradiology·R N WalkerC A Woomert
Jun 19, 2014·The Laryngoscope·Susan R CordesKelly K Hiatt
Feb 20, 2016·The Journal of Nutrition, Health & Aging·H Wakabayashi, M Matsushima
May 1, 2015·Critical Care : the Official Journal of the Critical Care Forum·Venkatakrishna RajajeeBrady T West
May 20, 2015·Critical Care : the Official Journal of the Critical Care Forum·Mariam AlansariMohammed A Elhoseny
Oct 19, 2016·Journal of Critical Care·Vinciya PandianLonny B Yarmus
Jul 10, 2016·Journal of Clinical Epidemiology·James A Hanley
Feb 13, 2019·Geriatrics & Gerontology International·Saori YoshidaShunsuke Minakuchi
Nov 1, 2015·Journal of the Intensive Care Society·Joshua MoorhouseDavid Owens

❮ Previous
Next ❯

Software Mentioned

JMP

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.