Neonatal Respiratory Failure Clinical Trial
Official title:
Is Nasal Septum-tragus Length Safe in Neonatal Endotracheal Intubation?
Endotracheal intubation is a frequent procedure performed in neonates with respiratory
distress. Clinicians use different methods to estimate the intubation insertion depth.
In this study, the investigators aimed to compare the two different methods (kilogram + 6 cm
and nasal septum-tragus length (NTL) + 1 cm) used to determine the endotracheal intubation
insertion depth.
Endotracheal intubation is a frequent procedure performed in neonates with respiratory
distress. The ideal location of the tube is between the top of the 1st thoracic vertebra and
the bottom of the 2nd thoracic vertebra in the X-ray. Clinicians use different methods to
estimate the intubation insertion depth.
In this study, investigators aimed to compare the two different methods (kilogram+6 cm and
nasal septum-tragus length (NTL)+ 1 cm) used to determine the endotracheal intubation
insertion depth.
In this multicentre randomized prospective study, infants who had intubation indications in
neonatal intensive care unit will be enrolled. The intubation tube will be fixed at the lip
level using the Tochen formula (Group 1) or the NTL+1 cm formula (Group 2). The same brand
endotracheal tubes will be used and after intubation the chest radiograph will be performed
in the neutral position. Chest X-ray will be evaluated blindly by a single radiologist in the
digital environment (above T1, in place and below T2).
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