Recommendations for nasotracheal tube insertion depths in neonates
Beteiligte Einrichtungen
Abstract
Background: Endotracheal tube (ETT) malposition is common in neonatal intubation. Recommendations for ETT insertion depths predominantly address orotracheal intubation. The aim of this study was to develop gestational age-, weight-, and length-based curve charts and tables for nasotracheal ETT insertion depth recommendations in neonates.
Method: In this retrospective single-center study, the individual optimal ETT insertion depths in neonates were determined by evaluating postintubation radiographic images. Gestational age-, weight-, and length-based best-fit curves and tables were generated using regression analysis to calculate related ETT insertion depths. The insertion depths predicted by the models were compared with previously published recommendations.
Results: We analyzed intubations of 178 neonates (gestational age range at intubation: 23.7-43.0 weeks). Applying sigmoidal logistic regression models, curves, and tables revealed R 2 values between 0.766 and 0.837. The insertion depths predicted by the models revealed certain deviations when compared with four previously published recommendations for nasotracheal ETT depth estimation in neonates.
Conclusion: The charts and tables developed in this study enable a fast and accurate determination of recommended nasotracheal ETT insertion depths in neonates.
Bibliografische Daten
Originalsprache | Englisch |
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Aufsatznummer | 990423 |
ISSN | 2296-2360 |
DOIs | |
Status | Veröffentlicht - 2022 |
Anmerkungen des Dekanats
Copyright © 2022 Ebenebe, Schriever, Wolf, Herrmann, Singer and Deindl.
PubMed | 36071882 |
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