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Comparison of two methods of ascertaining depth of insertion of endotracheal tube (tube inserted in wind pipe for providing assisted ventilation) in neonates.

Nasotragal Length (NTL) Or Tochen For Endotracheal Tip Trial (NOTE Trial) - NOTE

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/02/030914
Enrollment
116
Registered
2021-02-01
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: P22- Respiratory distress of newborn

Interventions

Intervention1: Nasotragal length (NTL): Using Nasotragal length (NTL+1 cm))for calculating depth of insertion of endotracheal tube Control Intervention1: Tochen formula: Using Tochen formula (wt(kg)+6

Sponsors

None
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: All infants requiring invasive ventilation will be enrolled. 1)Surgical intervention needing elective intubation for general anaesthesia. 2)Severe respiratory or metabolic acidosis (pH 60 mmHg) 3)Severe apnea and bradycardia 4)Severe respiratory distress (SAS/Downe >6) 5)Pulmonary hemorrhage 6)Cardiopulmonary arrest without effective resuscitation and requiring continued ventilation 7)Surfactant administration

Exclusion criteria

Exclusion criteria: 1) Major Congenital Anomaly 2) Major vertebral anomalies 3) Emergent intubation where prior randomization is not feasible 4) Cases where parental consent could not be taken prior to endotracheal intubation

Design outcomes

Primary

MeasureTime frame
Proportion of infants with optimally positioned endotracheal tube tipTimepoint: 2 hours—

Secondary

MeasureTime frame
1. Proportion of infants with endotracheal tube tip above T1 vertebra. 2. Proportion of infants with endotracheal tube tip below T2 vertebra 3. Proportion of infants with requiring endotracheal tube repositioning (advance or withdrawn) following chest X-ray. Timepoint: 2 hours—

Countries

India

Contacts

Public ContactDr Chandrakumar N

Kanchi Kamakoti CHILDS Trust Hospital

drchandrakumar@gmail.com9488176225

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026