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Estimating neonatal oral endotracheal tube depth of insertion using weight or suprasternal palpation of the tip

Not Applicable
Completed
Conditions
Endotracheal intubation of the newborn infant
Neonatal Diseases
Registration Number
ISRCTN13570106
Lead Sponsor
ational Maternity Hospital
Brief Summary

2020 results in http://dx.doi.org/10.1136/archdischild-2019-317328 (added 09/06/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
118
Inclusion Criteria

Newborn infants of any gestational age and either gender intubated in NIC

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 CXR

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ETT tip in correct position (between upper border of T1 and lower border of T2) on chest X-ray (CXR) taken to confirm position immediately after intubation
Secondary Outcome Measures
NameTimeMethod
<br> 1. ETT tip above T1 on CXR taken to confirm position immediately after intubation<br> 2. ETT tip below T2 on CXR taken to confirm position immediately after intubation<br> 3. Number of extubations before CXR<br> 4. Repositioning of ETT following CXR<br> 5. Air leaks (pneumothorax, pneumomediastinum, pulmonary interstitial emphysema) occurring before hospital discharge (will vary for participants, usually depending on gestational age at birth)<br> 6. Duration of ventilation, assessed before hospital discharge<br> 7. Oxygen therapy at 28 days of life<br> 8. Oxygen therapy at 36 weeks corrected gestational age<br> 9. Death before discharge from hospital<br>
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