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Estimating the depth of insertion of oral endotracheal tubes in newborns using weight or vocal cord guide

Not Applicable
Completed
Conditions
eonatal intensive care, respiratory support, mechanical ventilation
Neonatal Diseases
Registration Number
ISRCTN39654846
Lead Sponsor
The National Maternity Hospital (Ireland)
Brief Summary

1. 2018 results in https://www.ncbi.nlm.nih.gov/pubmed/28883098 (added 21/01/2019)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
116
Inclusion Criteria

Newborn infants intubated in the neonatal intensive care unit (NICU)

Exclusion Criteria

Infants with upper airway anomalies (e.g. Pierre-Robin sequence) or lung abnormalities (e.g. congenital diaphragmatic hernia) that may distort the upper airway anatomy and alter the position of the ETT tip on chest X-ray (CXR) are not eligible for inclusion.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Correct position of the ETT on chest X-ray defined as between the upper border of the first thoracic vertebra (T1) and the lower border of the second thoracic vertebra (T2) on chest X-ray. ETT position will be determined by a consultant paediatric radiologist who will be unaware of the infant?s treatment allocation.
Secondary Outcome Measures
NameTimeMethod
<br> 1. Number of extubations before chest X-ray<br> 2. Repositioning of ETT following chest X-ray<br> 3. Unequal lung expansion on initial chest X-ray following intubation<br> 4. Air leaks - pneumothorax, pneumomediastinum, pulmonary interstitial emphysema<br> 5. Duration of ventilation<br> 6. Oxygen therapy at 28 days<br> 7. Oxygen at 36 weeks<br> 8. Death before discharge from hospital<br>
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