Diagnostic Aspects and Syndromal Associations of Short Trachea With Bronchial Intubation

Wells, Theadis R.; Wells, A.; Galvis, Daniel; Senac, Melvin O.; Landing, Benjamin H.; Vachon, Linda

doi:10.1001/archpedi.1990.02150360095032

Cited by 9 publications

(4 citation statements)

References 11 publications

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“…Despite it is an uncommon problem, it seems to be more frequent in certain conditions such as DiGeorge syndrome, skeletal dysplasias, brevicollis, congenital rubella syndrome, and interrupted aortic arch (2) . However, the long course of the left main bronchus renders it vulnerable to compression either behind the aortic arch or the ligamentum arteriosum (3) .…”

Section: Discussionmentioning

confidence: 99%

High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia

Khalid

Wadha

2018

The Egyptian Journal of Hospital Medicine

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Background: Congenital short trachea (CST) an uncommon abnormality is defined as a reduction in the number of tracheal rings to 15 or less, compared to the average of 17 rings in normal infants. As a result, the carina is situated at a higher level than usual that lead the left main bronchus to course abnormally behind the arch of the aorta, making it prone to compression. CST is associated with a number of syndromes, including the Di George syndrome, several types of congenital heart disease, some skeletal dysplasias and meningomyelocoele. Case study: We report a case of one Saudi infant who presented with respiratory distress since birth and hyperinflation of left side of the lung secondary to extrinsic narrowing of proximal left main stem bronchus due to compression by arch of the aorta, and he underwent successful aortopexy of the aortic arch for this condition.

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Section: Discussionmentioning

confidence: 99%

High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia

Khalid

Wadha

2018

The Egyptian Journal of Hospital Medicine

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“…Short stature [27] and short neck [28], especially in patients undergoing laparoscopic surgeries, may represent an indication for ETT position checking and correction with the aid of a FOB. Additional studies in subgroups of high-risk patients are warranted.…”

Section: Discussionmentioning

confidence: 99%

Prompt correction of endotracheal tube positioning after intubation prevents further inappropriate positions

Rigini

Boaz

Ezri

et al. 2011

Journal of Clinical Anesthesia

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“…We excluded dysmorphic infants from both studies as the tracheal length in such infants may be shorter than normal 10. We also precisely defined the optimum position for the tip of the ETT in the midtrachea as corresponding radiologically to the first thoracic vertebra 9.…”

Section: Discussionmentioning

confidence: 99%

Foot length, an accurate predictor of nasotracheal tube length in neonates

Embleton

Deshpande

Scott

et al. 2001

Archives of Disease in Childhood - Fetal and Neonatal Edition

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Background-Existing guidelines for optimal positioning of endotracheal tubes in neonates are based on scanty data and relate to measurements that are either non-linear or poorly reproducible in sick infants. Foot length can be measured simply and rapidly and is related to a number of external body measurements. Objectives-To evaluate the relation of foot length to nasotracheal length in direct measurements at post mortem examinations, and then compare its clinical relevance with traditional weight based estimates in a randomised controlled trial. Methods-The dimensions of the upper airway were measured at autopsy in 39 infants with median (range) postmenstrual age and birth weight of 32 (24-43) weeks and 1630 (640-3530) g. The regression equations with 95% prediction intervals were calculated to estimate the optimal nasotracheal length from foot length. In a randomised trial, 59 neonates were nasally intubated according to foot length and body weight based estimates to assess the achievement of "optimal" and "satisfactory" tube placements. Results-In the direct measurements of the airway at autopsy, foot length was a better predictor of nasotracheal distances (r 2 = 0.79) than body weight, gestational age, and head circumference (r 2 = 0.67, 0.58, and 0.60 respectively). Measurement of foot length was easy and highly reproducible. In the randomised controlled trial, there were no significant diVerences between the foot length and body weight based estimates in the rates of optimal (44% v 56%) and satisfactory (83% v 72%) endotracheal tube placements. Conclusions-Foot length is a reliable and reproducible predictor of nasotracheal tube length and is at least as accurate as the conventional weight based estimation. This method may be particularly valuable in sick unstable infants. (Arch Dis Child Fetal Neonatal Ed 2001;85:F60-F64)

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Diagnostic Aspects and Syndromal Associations of Short Trachea With Bronchial Intubation

Cited by 9 publications

References 11 publications

High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia

High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia

Prompt correction of endotracheal tube positioning after intubation prevents further inappropriate positions

Foot length, an accurate predictor of nasotracheal tube length in neonates

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