Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s1.08
Tracheobronchial Morphometry Correlates with Demographic Characteristics and Infections in Critically Ill Patients
Emilija Šantić
orcid.org/0000-0003-0570-8836
; Department of Anesthesiology and ICU, Osijek University Hospital, Osijek, Croatia
Tajana Turk
orcid.org/0000-0003-1535-1359
; Department of Radiology, Osijek University Hospital, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivana Haršanji Drenjančević
; Department of Anesthesiology and ICU, Osijek University Hospital, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivan Radoš
; Department of Anesthesiology and ICU, Osijek University Hospital, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Slavica Kvolik
orcid.org/0000-0002-5244-9585
; Department of Anesthesiology and ICU, Osijek University Hospital, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Sažetak
Tracheal measurements in the intensive care unit (ICU) are important for the choice
of endotracheal tube and may correlate with patient demographic characteristics and infections. The
study included 42 surgical patients, age 60 [48-71] years, who underwent diagnostic chest computed
tomography (CT) scans during treatment in the ICU, Osijek University Hospital, in 2019 and 2020.
CT scans were analyzed using AW Server 3.2. Measurement analysis showed that the diameters of the
tracheobronchial tree, the length of the trachea and left main bronchus were significantly larger in men
compared to women (p<0.05 all). The smallest tracheal upper diameter was 15.25 [IQR 11.8-18.8] mm
vs. 17.95 [13.55-20.05] mm in septic and nonseptic patients, respectively (p=0.028). A total of 26 patients
who underwent CT scans developed nosocomial pneumonia. It was right-sided in 15, left-sided
in 6 and bilateral in 5 patients, and correlated significantly with the left main bronchus length (ρ=0.515,
p=0.007). No correlation was observed between tracheobronchial measurements and length of ICU
treatment, number of hours spent on mechanical ventilation, or survival. A larger study could provide
better data on the importance of tracheobronchial tree measurements in ICU patients.
Ključne riječi
Trachea; Bronchi; Pneumonia, bacterial; Intensive care unit; Tomography, x-ray computed; Comorbidity
Hrčak ID:
307450
URI
Datum izdavanja:
1.4.2023.
Posjeta: 227 *