Determination of the Cricothyroid Membrane Height by Age and Sex and Optimal Tracheal Tube Size

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dc.authorid0000-0002-6132-0898
dc.contributor.authorKokulu, Kamil
dc.contributor.authorAlkan, Ender
dc.contributor.authorSert, Ekrem T.
dc.contributor.authorMutlu, Hüseyin
dc.contributor.authorTürkücü, Çağrı
dc.contributor.authorAkar, Emin H.
dc.date.accessioned2024-07-09T07:08:26Z
dc.date.available2024-07-09T07:08:26Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractThe primary aim of this study was to determine the average cricothyroid membrane (CTM) height in healthy volunteers, and the secondary aim was to determine the hypothetical success rate for emergency cricothyrotomy with a tracheal tube with an 8.0 mm outer diameter. Methods: This study included healthy volunteers aged 18 years and older. The participants' clinical characteristics were recorded, and their CTM height was measured using ultrasound, with their necks placed sequentially in the neutral and extension positions. The relationship between the CTM height and sex, age, height, weight, body mass index, and sternomental distance was evaluated using linear regression analysis. An equation that could estimate the height of the CTM was obtained with the parameters found significant in this analysis. Results: Of the 340 participants, 208 (61.2%) were male. The mean (SD) height of the CTM in the extension position was 9.60 (1.54) mm, and it was significantly shorter in the women than in the men (8.72 [1.19] mm vs. 10.16 [1.48] mm, p < 0.001). Among the participants of short stature, the CTM was significantly shorter, regardless of sex. The hypothetical success rate for emergency cricothyrotomy was 93.3% for the males and 73.5% for the females. The equation for estimating the height of the CTM in the extension position was determined as ?4.36 + 5.27 × height (m) + 0.32 × sternomental distance (cm). Conclusions: Since the CTM height may differ according to age, sex, and height, cricothyrotomy sets should be available in various outer diameters.
dc.identifier.doi10.1002/lary.31102
dc.identifier.endpage1830en_US
dc.identifier.issn0023-852X
dc.identifier.issue4en_US
dc.identifier.pmid37815152
dc.identifier.scopusqualityQ1
dc.identifier.startpage1825en_US
dc.identifier.urihttps:/dx.doi.org/10.1002/lary.31102
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12093
dc.identifier.volume134en_US
dc.identifier.wosWOS:001083392700001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherJohn Wiley and Sons Inc
dc.relation.ispartofLaryngoscope
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAirway Management
dc.subjectCricothyroid Membrane
dc.subjectCricothyroidotomy
dc.subjectSurgical Airway
dc.subjectUltrasound
dc.titleDetermination of the Cricothyroid Membrane Height by Age and Sex and Optimal Tracheal Tube Size
dc.typeArticle

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