Nasal septum tragal length versus weight based formula to predict optimal endotracheal tube insertion depth in neonates: an open-label randomised controlled trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 340
- 试验地点
- 1
- 主要终点
- To compare endotracheal tube depth prediction methods using nasotragal length and weight based formula in neonatesto determine optimal endotracheal tube position using chest xray and point care of ultrasound
研究概览
简要总结
Endotracheal intubation is a critical and often lifesaving intervention in neonatal intensive care units (NICU), particularly for premature or critically ill newborns requiring respiratory support. Accurate determination of endotracheal tube insertion depth is crucial in neonates to prevent complications such as tube misplacement, which can lead to inadequate ventilation or injury. However, determining the optimal insertion depth for Endotracheal tube in neonates remains challenging due to their small size and anatomical variations.Hence we plan to conduct this procedure and we will compare two methods by checking the position of endotracheal tube using chest xray and point of care ultrasonography.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 1.00 Day(s) 至 28.00 Day(s)（—）
- 性别
- All
入选标准
- •Neonates(28 to 40weeks) requiring Endotracheal tube placement.
排除标准
- •1.Congenital anomalies of the airway (e.g., tracheoesophageal fistula, congenital diaphragmatic hernia, laryngeal or tracheal stenosis) 2.Major craniofacial anomalies ((e.g., Pierre Robin sequence, cleft palate) 3.Severe chest wall deformities (e.g., pectus excavatum) may affect measurement methods like nasotragal length.
- •4.Vertebral abnormalities 5.Neonates already intubated prior to admission (outborn) 6.Hemodynamic instability precluding safe transport for chest XrayParental refusal for consent 7.Parental refusal for consent.
结局指标
主要结局
To compare endotracheal tube depth prediction methods using nasotragal length and weight based formula in neonatesto determine optimal endotracheal tube position using chest xray and point care of ultrasound
时间窗: after every endotracheal tube fixation techniques chest xray will be done to locate the tip of endotracheal tube. Enotracheal tube Position | Above T1, Between | T1&T2, Below T2
次要结局
- chest xray(ultrasonography)
研究者
Gaurav Bindukumar Pandey
Government medical college and hospital chhatrapati sambhaji nagar