Recommendations for nasotracheal tube insertion depths in neonates
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Recommendations for nasotracheal tube insertion depths in neonates. / Ebenebe, Chinedu Ulrich; Schriever, Kristina; Wolf, Monika; Herrmann, Jochen; Singer, Dominique; Deindl, Philipp.
in: FRONT PEDIATR, Jahrgang 10, 990423, 2022.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Recommendations for nasotracheal tube insertion depths in neonates
AU - Ebenebe, Chinedu Ulrich
AU - Schriever, Kristina
AU - Wolf, Monika
AU - Herrmann, Jochen
AU - Singer, Dominique
AU - Deindl, Philipp
N1 - Copyright © 2022 Ebenebe, Schriever, Wolf, Herrmann, Singer and Deindl.
PY - 2022
Y1 - 2022
N2 - 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.
AB - 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.
U2 - 10.3389/fped.2022.990423
DO - 10.3389/fped.2022.990423
M3 - SCORING: Journal article
C2 - 36071882
VL - 10
JO - FRONT PEDIATR
JF - FRONT PEDIATR
SN - 2296-2360
M1 - 990423
ER -
