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The intubation depth marker: the confusion of the black line
Author(s) -
Goel Sunita,
Lim SuanLing
Publication year - 2003
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2003.01103.x
Subject(s) - medicine , intubation , confusion , clinical judgement , guideline , accidental , tracheal intubation , judgement , surgery , intensive care medicine , pathology , political science , acoustics , psychoanalysis , law , psychology , physics
Summary Background: Estimation of the correct depth of insertion of a tracheal tube (TT) in children is extremely important. Insertion of an excessive length may result in endobronchial intubation while an inadequate length of insertion may lead to accidental extubation. Methods: We reviewed TTs commonly used in paediatric practice and also reviewed recommended guidelines for correct depth of insertion. Results: Amongst the different brands of TTs used, there was a wide discrepancy in the placement of the intubation depth marker. This is important as the intubation depth marker is often used as a guideline for intubation. Conclusions: For optimal placement we can rely on various formulae and manufacturers’ markings on the TTs. Clinical judgement, however, remains the cornerstone of optimal placement.