Nasal septum tragal length versus weight based formula to predict optimal endotracheal tube insertion depth in neonates: an open-label randomised controlled trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 340
- Locations
- 1
- Primary Endpoint
- 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
Study Overview
Brief Summary
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- None
Eligibility Criteria
- Ages
- 1.00 Day(s) to 28.00 Day(s) (—)
- Sex
- All
Inclusion Criteria
- •Neonates(28 to 40weeks) requiring Endotracheal tube placement.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
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
Time Frame: 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
Secondary Outcomes
- chest xray(ultrasonography)
Investigators
Gaurav Bindukumar Pandey
Government medical college and hospital chhatrapati sambhaji nagar