! ORL via Alexandros G.Sfakianakis on Inoreader: Endotracheal tube positioning during neck extension in thyroidectomy.

! ORL via Alexandros G.Sfakianakis on Inoreader

Endotracheal tube positioning during neck extension in thyroidectomy. Sep 8th 2015, 10:35, by Sharma SD, Kumar G, Kanona H, Jovaisa T, Kaddour H Endotracheal tube positioning during neck extension in thyroidectomy. J Laryngol Otol. 2015 Sep 7;:1-4 Authors: Sharma SD, Kumar G, Kanona H, Jovaisa T, Kaddour H Abstract OBJECTIVE: To evaluate the effect of body mass index and neck length on endotracheal tube movement during neck extension in thyroidectomy. METHODS: A prospective study was conducted of 30 patients undergoing thyroidectomy during an 8-month period. Patient characteristics were recorded and endotracheal tube displacement was determined. RESULTS: Mean body mass index was 27.8 kg/m2 (range, 17.5-34.7 kg/m2) and mean neck circumference was 43.2 cm (range, 28-56 cm). The mean (± standard deviation) upward displacement of the endotracheal tube during neck extension was 7.17 ± 5.87 mm. Patients with a larger body mass index had a significantly greater amount of tube displacement (R2 = 0.67, p < 0.0001), as did patients with a smaller neck length (R2 = 0.48, p < 0.0001). CONCLUSION: Neck extension results in upward displacement of the endotracheal tube. The amount of displacement is significantly higher in patients with a larger body mass index or shorter neck length. This has particular relevance for nerve monitoring in thyroidectomy. PMID: 26343783 [PubMed - as supplied by publisher]

You are receiving this email because you subscribed to this feed at blogtrottr.com. If you no longer wish to receive these emails, you can unsubscribe from this feed, or manage all your subscriptions