Health Condition 1: J969- Respiratory failure, unspecified
Conditions
Interventions
Intervention1: Estimation of insertion depth of endotracheal tube using gestation age-based method: Neonates who need mechanical ventilation will be intubated and insertion depth of endotracheal tube
Sponsors
abhishek yadav
Eligibility
Inclusion criteria
Inclusion criteria: Neonates born in the hospital between 25+0 weeks and 41+6 weeks gestation age will be included if they are intubated for ventilation during the neonatal period(0-28 days)
Exclusion criteria
Exclusion criteria: 1.Major congenital malformation including craniofacial malformation 2.Neonates with any suspected chromosomal disorder 3.Intubation during neonatal resuscitation at birth 4.Intubation during emergency 5.Neonates 6.Chest radiograph not likely to be available within 6 hours of intubation 7.Re-intubation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of optimally placed endotracheal tube tip (between the upper border of T1 and lower border of T2 vertebra in chest radiograph)Timepoint: within 6 hours of intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Incidence of ETT tip being too high (above the upper border of the first thoracic vertebra) 2.Incidence of ETT tip being too low (below the lower border of the second thoracic vertebra) 3.Incidence of ETT tip at the level of the carina 4.Episodes of bradycardia (heart rate100 beats/min) within 30 minutes of intubation 5.New onset pneumothorax within 6 hours of intubation 6.Need for ETT repositioning after chest radiograph 7.New onset intraventricular hemorrhage (any grade) within 24 hours of intubation 8.Duration of invasive ventilation 9.Death before discharge Timepoint: After recruitment of 150 cases | — |
Countries
India
Contacts
Public ContactDrSuksham Jain
Government Medical College and Hospital,32,Chandigarh
Outcome results
None listed