The Combination of Diameters of Cricoid Ring and Left Main Bronchus for Selecting the “Best Fit” Double-Lumen Tube

Liu, Shiqing; Qi, Wenxu; Jin, Zhang; Dong, Yue

doi:10.1053/j.jvca.2017.11.029

Cited by 23 publications

(18 citation statements)

References 30 publications

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“…Variations of the laryngeal skeleton are widely seen; therefore, individual radiological examinations, such as CT or MRI, are important to prevent unexpected injuries during intubation procedures (23). Another CT study including 181 adult patients who had undergone general anesthesia for lung operations reported the diameters of the cricoid ring (5). Likewise, to our findings, their results indicated that the cricoid cartilage was larger in men.…”

Section: Discussionsupporting

confidence: 83%

“…Likewise, to our findings, their results indicated that the cricoid cartilage was larger in men. Although Shiqing et al (2018) reported that the mean values of the transverse diameter of the cricoid cartilage were similar with our findings, the mean values of the anteroposterior diameter of the cricoid cartilage in their study were smaller than our results. These differences may occur since the patients in their study had undergone the general anesthesia.…”

Section: Discussionsupporting

confidence: 76%

“…The total number of diabetic patients is expected to be 439 million by 2030 (1). Since DM is a global problem, many investigations to find markers related to disease, complications and prognosis were researched (3,4,5). Diabetic retinopathy (DR) is one of the most feared complications of diabetes.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, selecting an appropriate endotracheal tube is also important in adult patients. Earlier studies focused on the diameters of the cricoid cartilage in adult patients among various populations (3)(4)(5). Their results demonstrated that the larynx has variable morphometric properties among the different populations.…”

Section: Introductionmentioning

confidence: 99%

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Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds

Vatansever

Güneş

Demiryürek

2019

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: Rima glottidis and cricoid cartilage are important parts for laryngeal passage. However, their complex anatomical organizations give rise to occur some difficulties during intubation or surgeries. Therefore, these anatomical structures have great risk of damage during these procedures. The main aim of this study is to evaluate detailed morphometric properties of these critical parts of the larynx. Methods: In this study, 74 female and 76 male patients', without any pathology in their laryngeal and neck regions, computed tomography images were examined, retrospectively. Anteroposterior diameter of the supraglottic region immediately above the vocal folds, anterior angle of the vocal folds, transverse diameter of the rima glottidis and anteroposterior and transverse diameters of the cricoid cartilage were measured using Osirix-Lite version 9. Results: Transverse diameter of the cricoid cartilage was found less than 1 cm, however, the transverse diameter of the rima glottidis was significantly smaller. All variables except for anterior angle of the vocal folds were higher in men than women. Conclusions: The transverse diameter of the rima glottidis was the narrowest part of the laryngeal passage. The physicians should be aware of this part of the larynx besides the cricoid cartilage during endotracheal tube administrations.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Revisiting the Morphometry of Cricoid Cartilage and Vocal Folds

Vatansever

Güneş

Demiryürek

2019

Harran Üniversitesi Tıp Fakültesi Dergisi

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“…Recently, a new VivaSight DL (EF-View Ltd, Misgav, Israel) with a camera embedded in the tube's right side has been reported to intubate to the correct position without FOB [41] minimizing insertion injuries and continually monitoring the position of the lung separation device. In addition, there are also reports on how to select the best-fit DLTs to minimize DLT-associated injuries, especially for small-sized Asian people [42]. With recently developed easily inserted rigid-angle bronchial blockers, the role of FOB has also changed to be effective on directing bronchial blockers to the target side but not ensuring satisfaction of surgical fields [43].…”

Section: The Considerations For Performing Precise Anesthesiamentioning

confidence: 99%

Precise anesthesia in thoracoscopic operations

Hung¹,

Chen

Cheng³

2019

Current Opinion in Anaesthesiology

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Purpose of reviewThe current review focuses on precise anesthesia for video-assisted thoracoscopic surgery (VATS) with the goal of enhanced recovery.Recent findingsVATS has become an established and widely used minimally invasive approach with broad implementation on a variety of thoracic operations. In the current environment of enhanced recovery protocols and cost containment, minimally invasive VATS operations suggest adoption of individualized tailored, precise anesthesia. In addition to a perfect lung collapse for surgical interventions with adequate oxygenation during one lung ventilation, anesthesia goals include a rapid, complete recovery with adequate postoperative analgesia leading to early discharge and minimized costs related to postoperative inpatient services. The components and decisions related to precise anesthesia are reviewed and discussed including: letting patients remain awake versus general anesthesia, whether the patient should be intubated or not, operating with or without muscle relaxation, whether to use different separation devises, operating with different local and regional blocks and monitors.ConclusionThe determining factors in designing a precise anesthesic for VATS operations involve consensus on patients’ tolerance of the associated side effects, the best practice or techniques for surgery and anesthesia, the required postoperative support, and the care team's experience.

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